| NPI | 1568612935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2009-08-12 |