| NPI | 1306420450 |
|---|---|
| Other Name | MICHAEL ANGELLO NEGRON VIDAURRE(MAIDEN NAME) |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-3282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-100845) |
| 163W00000X Registered Nurse (Licence: CA 795770) | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2023-01-24 |