NPI | 1689035263 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA GAIL DODD Ap RN 501-745-2713 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003662) |
Enumeration Date | 2016-03-10 |
Last Update Date | 2024-07-11 |