NPI | 1700647310 |
---|---|
Other Name | SIMPLE BLESSINGS PEDIATRICS & ADULT FUNCTIONAL MEDICINE |
Entity Type | Organization |
Authorized Contact | HEATHER LEE HASARA Owner 936-236-9147 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2024-01-22 |
Last Update Date | 2025-09-24 |