| NPI | 1841530318 |
|---|---|
| Doing Business As | RENAISSANCE HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CHESTER L. CARLSON President 501-551-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 261QP2300X Clinic/Center, Primary Care (Licence: AR MC-2949) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-03-16 |