| NPI | 1205821162 |
|---|---|
| Former Name | ANNE MARIE BISANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0004983-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 176511) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP3166182) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2021-04-29 |