| NPI | 1700636164 |
|---|---|
| Doing Business As | HOMEGROWN ESSENTIAL WELLNESS PEDIATRICS & FAMILY. |
| Doing Business As | HOMEGROWN ESSENTIAL WELLNESS PEDIATRICS & FAMILY |
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN RIDDLE Dnp 631-248-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |