| NPI | 1558910125 |
|---|---|
| Doing Business As | CLASSROOM CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUE GEHLING Owner 712-525-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2024-10-27 |