NPI | 1992586341 |
---|---|
Former Legal Business Name | ANIMAS SANITAS PRIMARY CARE AND AESTHETICS P.C. |
Entity Type | Organization |
Authorized Contact | GEORGINA SEGURA Nurse Practitioner LLC Owner 719-310-1355 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
363LG0600X Nurse Practitioner, Gerontology | |
Enumeration Date | 2023-10-11 |
Last Update Date | 2023-10-11 |