NPI | 1740940790 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER MAZUREK Dnp, Fnp Bc 252-903-9974 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2021-12-17 |
Last Update Date | 2024-05-01 |