Aloha Primary Care
Nurse Practitioner, Primary Care in Diamondhead, MS. Organization (NPI-2).
NPI number1982126983
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982126983
- Entity type
- Organization (NPI-2)
- Legal business name
- Aloha Primary Care
- Organization subpart
- No
- Enumeration date
- Jul 11, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | MS | Yes |
Practice location
4402 E Aloha Dr Ste 15Diamondhead, MS 39525-3305
Phone 228-222-5060 · Fax 228-364-9004
Mailing address
4402 E Aloha Dr Ste 15Diamondhead, MS 39525-3305
Phone 228-222-5060 · Fax 228-364-9004
Authorized official
James W Embry
Owner/Nurse Practitioner
2283649001
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