NPI | 1568854347 |
---|---|
Former Legal Business Name | NEW PURPOSE LLC |
Entity Type | Organization |
Authorized Contact | BETH A BISH Nurse Practitioner 419-549-5865 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA08524NP) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2015-03-03 |