NPI | 1902152556 |
---|---|
Doing Business As | RIM COUNTRY PAIN SERVICES |
Doing Business As | INTEGRICARE AZ |
Entity Type | Organization |
Authorized Contact | SUZANNE LEA MORSE Sole Member/Provider 913-481-1911 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4407) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5348) |
Enumeration Date | 2012-08-01 |
Last Update Date | 2022-07-21 |