NPI | 1295019941 |
---|---|
Former Name | CHELSA DAWN EVERLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G143507) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2011032979) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209009820) | |
Enumeration Date | 2011-09-29 |
Last Update Date | 2022-09-12 |