Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chronic Care |
364SC2300X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1811267503 |
| LBN Legal business name | PROMED PROVIDERS LLC |
| Authorized official | DONALD PORTER - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/11/2012 |
| Last updated | 01/19/2012 - About 14 years ago |
| Identifiers | n/a |
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