Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1811642309 |
| LBN Legal business name | NURSE PRACTITIONERS GERONTOLOGY GROUP PLLC |
| Authorized official | CHENA MCPHERSON - (OWNER/AUTHORIZED OFFICIAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/14/2022 |
| Last updated | 02/14/2022 - About 4 years ago |
| Identifiers | n/a |
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