NPI | 1356421044 |
---|---|
Former Name | PATRICIA ANN MCHENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R193119) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP004477V) |
163W00000X Registered Nurse (Licence: MD R193119) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MD R193119) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-07-20 |