NPI | 1790323095 |
---|---|
Doing Business As | ALYSSA CZUDEK, APRN |
Entity Type | Organization |
Authorized Contact | ALYSSA M CZUDEK Ap RN, Pmhnp Bc 318-704-0640 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-12-17 |
Last Update Date | 2019-12-17 |