NPI | 1861049959 |
---|---|
Doing Business As | EVOLVE DIRECT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LAUREN BOND Nurse Practitioner 844-322-4222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2019-08-22 |
Last Update Date | 2019-08-22 |