| NPI | 1780557785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BOX Owner 985-345-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |