NPI | 1265979900 |
---|---|
Former Name | NICOLE SHEETS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP9807) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN181769) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ L87257) | |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP9807) | |
Enumeration Date | 2017-01-19 |
Last Update Date | 2023-01-27 |