NPI | 1336564731 |
---|---|
Former Name | CAROL KREEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9278438) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0033379) |
363LF0000X Nurse Practitioner, Family (Licence: AL 3-001637) | |
363LF0000X Nurse Practitioner, Family (Licence: TN 36525) | |
Enumeration Date | 2014-02-22 |
Last Update Date | 2024-07-02 |