| NPI | 1295534790 |
|---|---|
| Former Name | MARCI ELIZABETH NYSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA Pending) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IA 131909) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-11 |