| NPI | 1093274177 |
|---|---|
| Former Name | ALLISON L CONGLETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 219167) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR r100361) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 219167) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-02-14 |