| NPI | 1871171496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PRIODE Owner/Authorized Official 606-939-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2026-06-15 |