NPI | 1982444303 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ANN GONZALES Owner 785-969-2599 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-05-31 |
Last Update Date | 2024-11-15 |