NPI | 1275102667 |
---|---|
Former Name | STEPHANIE A HENDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 08494521) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2313731) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2313731) | |
Enumeration Date | 2021-06-21 |
Last Update Date | 2024-07-16 |