| 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 |