| NPI | 1811941370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDIE L BELOTE RN 1317-541-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |