Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
163WG0600X | |||
Administrator |
163WA2000X |
| NPI # | 1629446810 |
| LBN Legal business name | PWT NURSE CONSULTANTS LLC |
| Authorized official | PHYLLIS TYSON - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/04/2015 |
| Last updated | 09/04/2015 - About 11 years ago |
| Identifiers | n/a |
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