| NPI | 1609604636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE SUZANNE LOVELESS Np/Owner 435-830-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |