NPI | 1275823726 |
---|---|
Former Name | DEBRA JEANNE TRANCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020621) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4705128175) |
Enumeration Date | 2011-04-17 |
Last Update Date | 2019-04-03 |