Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family Health |
364SF0001X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1770031130 |
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| LBN Legal business name | HOLY ANGELS INC | ||||
| Authorized official | SHANNON CHILDRESS - (CHIEF CLINICAL OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/14/2016 | ||||
| Last updated | 09/14/2016 - About 10 years ago | ||||
| Identifiers |
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