Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1891576591 |
| LBN Legal business name | ROOTED HEALTHCARE, LLC |
| Authorized official | KISUN PETERS-DIAZ - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/09/2023 |
| Last updated | 10/09/2023 - About 3 years ago |
| Identifiers | n/a |
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ROOTED HEALTHCARE, LLC
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ROOTED HEALTHCARE, LLC