NPI | 1134493018 |
---|---|
Former Name | WENDY MCCREIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-097852) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN236963) |
363L00000X Nurse Practitioner (Licence: AL 1-097852) | |
363LF0000X Nurse Practitioner, Family (Licence: GA RN236963) | |
Enumeration Date | 2012-02-24 |
Last Update Date | 2023-04-12 |