| NPI | 1821700014 |
|---|---|
| Former Legal Business Name | AZURA WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LISA JOHNSON Owner & CEO 301-985-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-01-17 |