| NPI | 1689659864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN D NATIONS Owner 660-826-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2020-02-25 |