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Organization
1977 ENTERPRISE LLC
NPI 1952009995
Active
Nurse Practitioner
Quick Facts
NPI Number
1952009995
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2023-02-20
Last Updated (NPPES)
2024-03-08
Primary Specialty / Taxonomy
| Taxonomy | Nurse Practitioner |
| Taxonomy Code | 363L00000X |
Other Taxonomies
- Family Medicine, Sports Medicine
- Psychiatry & Neurology, Addiction Medicine
- Psychiatry & Neurology, Psychiatry
- Hospitalist
- Physician Assistant
- Nurse Practitioner, Adult Health
- Nurse Practitioner, Family
- Nurse Practitioner, Psych/Mental Health
- Nurse Practitioner, Primary Care
Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.