| NPI | 1710631676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERLINDA BELVIS Medical Director 800-988-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-10 |