NPI | 1134509946 |
---|---|
Former Name | MEGHAN RENEE NIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9283250) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9283250) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9283250) | |
Enumeration Date | 2015-06-05 |
Last Update Date | 2023-09-13 |