| NPI | 1770344756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KRESS CEO 615-393-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-03-19 |