NPI | 1306150628 |
---|---|
Former Name | AMANDA NICOLE CALHOUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.11634) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.11634) |
Enumeration Date | 2010-07-28 |
Last Update Date | 2024-07-10 |