NPI | 1154723039 |
---|---|
Former Name | CALEIGH M VAN NORTWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27198) |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: TN 18895) |
363LF0000X Nurse Practitioner, Family (Licence: TN 18895) | |
Enumeration Date | 2014-09-22 |
Last Update Date | 2023-04-14 |