| NPI | 1821248428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBIBE BREWER Director 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 367A00000X Advanced Practice Midwife | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207Q00000X Family Medicine | |
| 208M00000X Hospitalist | |
| 208000000X Pediatrics | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2012-02-13 |