| NPI | 1144521063 |
|---|---|
| Former Name | REBECCA ANN TIRRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704259281) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60720815) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 11162) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WI 11162) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 6572P) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 11162) | |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2021-08-11 |