| NPI | 1760434930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J BYRNE President 800-362-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-02-16 |