| NPI | 1689476616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENA WEISSENBURGER Owner 515-212-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |