An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Clinical Cardiac Electrophysiology |
207RC0001X | 11 | Physician/Internal Medicine | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Interventional Cardiology |
207RI0011X | 11 | Physician/Internal Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1245393057 |
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| LBN Legal business name | CENTENNIAL HEART LLC | ||||||||
| Authorized official | LOUIS JOSEPH - (VICE PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/19/2006 | ||||||||
| Last updated | 07/18/2024 - More than a year ago | ||||||||
| Identifiers |
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