NPI | 1740729466 |
---|---|
Former Legal Business Name | NEST COLLABORATIVE, INC |
Entity Type | Organization |
Authorized Contact | KAITLYN ROBERTS Controller 075-363-6797 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MD 214487) | |
Enumeration Date | 2017-02-14 |
Last Update Date | 2024-02-13 |