| NPI | 1699428607 |
|---|---|
| Doing Business As | BLISS HOME BASED PRIMARY MEDICAL CARE |
| Entity Type | Organization |
| Authorized Contact | RENAE WALTON Dnp, Fnp Bc, Ap RN 704-579-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-08-08 |