NPI | 1972376234 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANEE MOORE Fnp Bc 205-378-8151 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
Enumeration Date | 2023-10-30 |
Last Update Date | 2024-03-26 |