Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI # | 1073618401 |
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| LBN Legal business name | CENTER FOR HEALTH AND WELLBEING | ||||
| Authorized official | ANNE STANDISH - (NURSE PRACTITIONER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/13/2006 | ||||
| Last updated | 07/07/2008 - About 18 years ago | ||||
| Identifiers |
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