NPI | 1063604247 |
---|---|
Former Name | MARY LUJAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0005289-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0180653) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0005289-NP) | |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0005289-NP) | |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9400046) | |
Enumeration Date | 2007-08-13 |
Last Update Date | 2023-03-27 |