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 |