NPI | 1023342508 |
---|---|
Former Name | DANA RENEE MAGNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AR LO57796) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 0057521) |
164W00000X Licensed Practical Nurse (Licence: KS 24-39649-122) | |
164W00000X Licensed Practical Nurse (Licence: AR L057796) | |
Enumeration Date | 2009-09-30 |
Last Update Date | 2019-04-02 |