NPI | 1699498006 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBBIE ROGERS CEO 239-961-9717 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0401X Family Medicine, Addiction Medicine | |
363LA2100X Nurse Practitioner, Acute Care | |
363LF0000X Nurse Practitioner, Family | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2022-09-21 |
Last Update Date | 2022-09-21 |