Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1003323510 |
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| LBN Legal business name | TATE HEALTH AND WELLNESS, PLLC | ||||
| Authorized official | LISA TATE - (OWNER/NURSE PRACTITIONER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/05/2018 | ||||
| Last updated | 01/05/2018 - About 8 years ago | ||||
| Identifiers |
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