NPI | 1831076819 |
---|---|
Former Legal Business Name | PREMIER INTEGRATIVE WELLNESS |
Entity Type | Organization |
Authorized Contact | BRANDI RATLIFF Nurse Practitioner/Owner 318-272-4180 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2025-08-20 |
Last Update Date | 2025-08-21 |