| NPI | 1700522422 |
|---|---|
| Doing Business As | TAYLOR MADE HEALTH AND WELLNESS INC |
| Entity Type | Organization |
| Authorized Contact | AMANDA LANE STEEN President 870-448-4489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2023-11-11 |