NPI | 1245649870 |
---|---|
Former Name | KERRI ANN FOXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN234873) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN234873) |
363L00000X Nurse Practitioner (Licence: MA RN234873) | |
Enumeration Date | 2014-08-07 |
Last Update Date | 2021-04-07 |