NPI | 1356534473 |
---|---|
Other Name | RODNEY DY WOLPERT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8220) |
Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: CA 2770) |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 2770) | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CA 2770) | |
364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: CA 2770) | |
Enumeration Date | 2007-08-22 |
Last Update Date | 2017-01-30 |