| NPI | 1770878571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ANN MORRIS-BLAKE Family Nurse Practitioner/C.E.O. 866-239-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 175733) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2022-01-25 |