| NPI | 1720606882 |
|---|---|
| Former Legal Business Name | MOUNTAIN DESERT HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | SHARON SCHAAF Owner 505-597-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2025-02-11 |