| NPI | 1780095109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VANN Owner 931-723-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN APN0000015060) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |