NPI | 1295136265 |
---|---|
Former Name | AMANDA NICHOLE RANFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3072212) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3072212) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2020-06-18 |