| NPI | 1902833668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LENAS Owner Administrator Clinician 386-659-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP796842) |
| 367A00000X Advanced Practice Midwife (Licence: FL ARNP796842) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2016-03-08 |