NPI | 1235242967 |
---|---|
Former Name | ANDREA LYNNE ZEKAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F337467-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 655666-01) |
163WP0000X Registered Nurse Pain Management (Licence: WV 53655) | |
363L00000X Nurse Practitioner (Licence: WV 53655) | |
363LF0000X Nurse Practitioner Family (Licence: WV 53655) | |
Enumeration Date | 2006-08-16 |
Last Update Date | 2023-09-18 |