| NPI | 1770201683 |
|---|---|
| Doing Business As | BLISS WOMEN'S HEALTH & AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | MIRANDA LEE YOUNG Owner 575-318-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-12-05 |