| NPI | 1114245958 |
|---|---|
| Former Name | ELLY J WEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IN 71009460A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.008173) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.008173) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 370911138) | |
| 163W00000X Registered Nurse (Licence: IL 041-280081) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2021-11-18 |