The nurse practitioner and nurse who assisted her handled my issues very efficiently. I was not told when I made the appointment that I would not be seeing the doctor. I have no problem being treated by a nurse practitioner, however, I think as a courtesy, I should have been notified when the appointment was made. The woman who made the reminder call was exceptionally pleasant. The front desk and check out folks were not particularly friendly or welcoming - strictly business. Doesn't cost anything to smile!