Organization Name: | QUALITY OF LIFE, P.C. |
NPI Number: | 1609023878 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN GRAVES-POSEY (PSYCHIATRIC NURSE PRACTITIONER) |
Mailing Address: | 506 Birch St. Glenrock |
State: | WY US |
Postal Code: | 82637 |
Phone Number: | 3072512957 |
Fax Number: | 3073331054 |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 23786.0844 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |