| NPI | 1588446900 |
|---|---|
| Doing Business As | ELITE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | DANA REITZAMMER Nurse Practitioner 318-355-6743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-07-19 |