NPI | 1669225314 |
---|---|
Entity Type | Organization |
Authorized Contact | JOY SHANNON Owner/CEO 862-902-3094 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 251F00000X Home Infusion |
Enumeration Date | 2024-04-10 |
Last Update Date | 2024-04-19 |