| NPI | 1831963115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTINA EDEN Owner 720-205-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |