Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1255191763 |
| LBN Legal business name | ACT HEALTHCARE SERVICES |
| Authorized official | ALICE ECHETA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/21/2024 |
| Last updated | 03/21/2024 - About 2 years ago |
| Identifiers | n/a |
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