NPI | 1124557632 |
---|---|
Former Name | BRITTANI LINNETTE NANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0000783-C-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000194656) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2017-06-08 |