Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Infusion Therapy |
163WI0500X | |||
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI Number | 1174408116 |
| LBN Legal business name | ARCHES PRIMARY CARE |
| Authorized official | MARIVIC VANOVER - (CEO/OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/08/2025 |
| Last updated | 08/08/2025 - About 10 months ago |
| Identifiers | n/a |
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ARCHES PRIMARY CARE
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