NPI | 1548147614 |
---|---|
Entity Type | Organization |
Authorized Contact | THALIA RIVES Owner 813-325-0043 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-08-19 |
Last Update Date | 2025-10-01 |