NPI | 1235502238 |
---|---|
Former Name | WILLIAM TIMOTHY HARPER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10010240) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-152900) |
Enumeration Date | 2015-11-12 |
Last Update Date | 2023-10-30 |