| NPI | 1861246027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY BOGGS A VP 240-315-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 175M00000X Midwife, Lay |
| 176B00000X Midwife | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-06-28 |