| NPI | 1871239509 |
|---|---|
| Former Legal Business Name | AMODEUS HEALTHCARE & PSYCHIATRY SVS |
| Entity Type | Organization |
| Authorized Contact | TAI SLYNE Provider 603-305-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2024-07-16 |