| NPI | 1033540125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KY 390079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 390079) |
| 163W00000X Registered Nurse (Licence: KY 1137767) | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver (Licence: OH RU134937) | |
| 174H00000X Health Educator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 163WX0200X Registered Nurse, Oncology (Licence: KY 390079) | |
| 163WG0000X Registered Nurse, General Practice (Licence: KY 390079) | |
| 163WH0200X Registered Nurse, Home Health (Licence: KY 390079) | |
| 163WH0200X Registered Nurse, Home Health (Licence: OH 1137767) | |
| 163WX0200X Registered Nurse, Oncology (Licence: OH 1137767) | |
| 163WC1500X Registered Nurse, Community Health (Licence: OH 1137767) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: OH 1137767) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-12-17 |