| NPI | 1588495675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRINGTON PHILLIPS ALTENBERN Sole Owner, Auth Official 615-405-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-11-12 |