NPI | 1992435226 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD P. LINDAHL Chief Operating Officer 833-765-3648 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2022-06-10 |
Last Update Date | 2022-06-10 |