NPI | 1871295774 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA JO WYATT Owner 918-857-2135 |
Organization Subpart ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2023-03-22 |
Last Update Date | 2023-06-12 |