Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI Number | 1134551062 |
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| LBN Legal business name | ADVANCED PRACTICE CLINICAL MEDICINE GROUP | ||||
| Authorized official | PATRICIA STEWART - (CEO/CLINICAL PROVIDER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/01/2013 | ||||
| Last updated | 08/01/2013 - About 13 years ago | ||||
| Identifiers |
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ADVANCED PRACTICE CLINICAL MEDICINE GROUP
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