| NPI | 1811687890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE CUVA Nurse Practitioner 423-220-9409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-07-06 |