| NPI | 1861182537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A MAGILEN Owner/CEO 800-226-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |