| NPI | 1679362362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA NICHOLE TEAGUE O'CONNOR Managing Member 844-285-2872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-02 |