NPI | 1770215923 |
---|---|
Entity Type | Organization |
Authorized Contact | REBEKAH LYNNE EASTON-HOGG Owner 727-538-4208 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-06-27 |
Last Update Date | 2022-06-27 |