NPI | 1740002898 |
---|---|
Entity Type | Organization |
Authorized Contact | CAREY LEDEE KRAUSE Owner, Provider 813-807-5269 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-10-29 |
Last Update Date | 2024-10-29 |