| NPI | 1831782689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL BIEN Member 256-397-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-05-11 |