| NPI | 1770377491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA AVERILL Owner 844-921-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |