NPI | 1134599988 |
---|---|
Former Name | KRISTEN LYNNE SHULTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 82932) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82932-092) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP129377) | |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003337C-NP) | |
363L00000X Nurse Practitioner (Licence: CO C-APN.0003337C-NP) | |
225000000X Orthotic Fitter (Licence: CO C-APN.0003337C-NP) | |
Enumeration Date | 2015-10-05 |
Last Update Date | 2024-05-09 |