NPI | 1700595436 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWANDA ROLLINS Owner 410-917-9578 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health |
363LA2200X Nurse Practitioner Adult Health | |
363LG0600X Nurse Practitioner Gerontology | |
363LP2300X Nurse Practitioner Primary Care | |
Enumeration Date | 2022-11-21 |
Last Update Date | 2023-05-19 |