| NPI | 1689497141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITY CARSTENSEN Owner 641-619-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-03-21 |