| NPI | 1801679717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMBIAT ADEKANMBI Director Of Clinical Operations 267-255-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LX0106X Nurse Practitioner, Occupational Health | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2026-08-04 |