| NPI | 1215457593 |
|---|---|
| Former Name | MAEGAN MCCONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71007194A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71007194A) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-02-10 |