NPI | 1174070536 |
---|---|
Former Name | LEANDREA STOUFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002328-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 1642577) |
363LF0000X Nurse Practitioner, Family (Licence: WV WV107150) | |
Enumeration Date | 2016-09-02 |
Last Update Date | 2023-04-26 |