NPI | 1891130472 |
---|---|
Doing Business As | PREVEA HEALTH EMPLOYER SERVICES |
Entity Type | Organization |
Authorized Contact | ANDREW J BAGNALL President And CEO 920-496-4700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2013-05-08 |
Last Update Date | 2021-12-22 |