| NPI | 1902555873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BARNES Administrator 405-287-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2022-06-02 |