| NPI | 1679279046 |
|---|---|
| Doing Business As | NANSEMOND INDIAN NATION |
| Entity Type | Organization |
| Authorized Contact | SUZZI WILLIAMS Credentialling Manager 801-949-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251E00000X Home Health | |
| 291U00000X Clinical Medical Laboratory | |
| 333600000X Pharmacy | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2025-09-02 |