NPI | 1215961404 |
---|---|
Former Name | VANESSA FAYE EKVALL WILLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007386) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 45126) |
363L00000X Nurse Practitioner (Licence: WA ap30007386) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2023-11-26 |