NPI | 1699474924 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWANDA ROLLINS Owner 443-272-1189 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
363LG0600X Nurse Practitioner Gerontology | |
363LW0102X Nurse Practitioner Women's Health | |
363LX0106X Nurse Practitioner Occupational Health | |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-05-19 |