NPI | 1225565351 |
---|---|
Former Name | ASHLEY RENEE MINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP241043) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRNCNP020883) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP020883) | |
Enumeration Date | 2017-05-19 |
Last Update Date | 2024-07-12 |