| NPI | 1912786625 |
|---|---|
| Other Name | PATRIC SCHINE |
| Other Name | PATRIC HERNANDEZ |
| Former Legal Business Name | PRIME HEALTH |
| Entity Type | Organization |
| Authorized Contact | LAURA L SPENCER-WAGNER Account Specialist 970-529-3348 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-10-13 |