NPI | 1194282269 |
---|---|
Former Name | KELSEY LINNETTE PRIODE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024333) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024333) |
Enumeration Date | 2019-02-25 |
Last Update Date | 2022-01-07 |