| NPI | 1780182386 |
|---|---|
| Doing Business As | NORTON AUDUBON WOUND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SHELLEY GAST VP Managed Care 502-588-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2021-09-21 |