| NPI | 1750746459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LYNN RINES Owner 712-629-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA H131507) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |