| NPI | 1790429926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELAM SIDDIQ THOMAS A RN P 515-209-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2024-03-14 |