| NPI | 1942859350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HAYES Practice Owner 866-473-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2022-11-17 |