Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1013779669 |
| LBN Legal business name | A BALANCED ACT, LLP |
| Authorized official | FRANCINE CLEGG - (PARTNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/29/2024 |
| Last updated | 01/29/2024 - About 2 years ago |
| Identifiers | n/a |
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