Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine |
| NPI # | 1144065723 |
| LBN Legal business name | CHOSEN NURSING CONSULTANT |
| Authorized official | RACINE FIELDS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/26/2024 |
| Last updated | 06/26/2024 - More than a year ago |
| Identifiers | n/a |
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