NPI | 1306590492 |
---|---|
Former Name | CHELSEA L BRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012439A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28232407A) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71072439A) | |
Enumeration Date | 2022-02-08 |
Last Update Date | 2024-03-15 |