NPI | 1245255637 |
---|---|
Former Name | NANETTE HOLLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP1252) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY APRN3006237) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN059716) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-06-10 |