NPI | 1235590217 |
---|---|
Former Name | AMANDA PAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0001532-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001532-C-NP) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2024-03-28 |