NPI | 1023094174 |
---|---|
Other Name | BETHANY ANN DECKARD-CROUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000008) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28086499) |
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: IN 70000008) | |
Enumeration Date | 2005-12-21 |
Last Update Date | 2018-06-28 |