| NPI | 1558144360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ELIZABETH CRAWFORD Nurse Practitioner/ Owner 913-669-4936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |