NPI | 1639703879 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE C ROP Owner 515-419-5096 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-02-26 |
Last Update Date | 2022-01-17 |