NPI | 1790497865 |
---|---|
Doing Business As | BLUEBIRDS & DAFFODILS, LLC |
Entity Type | Organization |
Authorized Contact | KIMBERLY ELAINE HENDERSON Nurse Practitioner 507-884-4856 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-12-20 |
Last Update Date | 2022-12-20 |