| NPI | 1962199745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIGDUS NKEM Director 571-494-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 251F00000X Home Infusion | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-08-22 |