| NPI | 1952972416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLETTE OWENS-MOSLEY Nurse Practitioner 980-207-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-12-26 |