EAGLES NEST HOLISTIC MENTAL HEALTH INC
Organization (NPI-2)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1962650705- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 719 1/2 MASS. SUITE 100, LAWRENCE, KS, 66044
- Phone
- (913) 530-2802
- Fax
- (913) 530-2802
Specialties & Taxonomies
Registered Nurse, Psych/Mental Health, Adult
License: KS #14-58010-092
Nurse Practitioner, Psych/Mental Health
License: KS #14-58010-092RN
Nurse Practitioner, Psych/Mental Health
Primary License: KS #74085APNR