NPI | 1972213379 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA MORRELL Owner 605-254-4335 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
Additional Taxonomies | 163W00000X Registered Nurse |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2022-11-28 |
Last Update Date | 2022-11-28 |