Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
363LS0200X | 50 | Nurse Practitioner | |
School |
1041S0200X |
| NPI # | 1063227486 |
| LBN Legal business name | SPARROW EATON HOSPITAL |
| Authorized official | MISTY RUSSIAN - (REGIONAL MANAGER, PROVIDER ENROLLME) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 02/12/2025 |
| Last updated | 02/12/2025 - More than a year ago |
| Identifiers | n/a |
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