| NPI | 1942048053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE FEEMSTER Credentialing Director 806-350-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |