NPI | 1316558620 |
---|---|
Former Name | AMBER MECHELLE HAMRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 65455) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202007889NP-PP) |
Enumeration Date | 2020-08-11 |
Last Update Date | 2025-01-07 |