| NPI | 1609698802 |
|---|---|
| Former Legal Business Name | NP |
| Entity Type | Organization |
| Authorized Contact | KAREN STAPLE Owner 877-258-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-05-16 |