| NPI | 1336307495 |
|---|---|
| Former Name | COURTNEY ANN KONDOS/MERCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN173592) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP7558) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: ND 46) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: ND 46) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2020-10-28 |