NPI | 1356763197 |
---|---|
Former Name | EVIE TESCH PETER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60991476) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201907262NP-PP) |
363L00000X Nurse Practitioner (Licence: CO APN.0994927-NP) | |
363L00000X Nurse Practitioner (Licence: GA RN198176) | |
363LF0000X Nurse Practitioner, Family (Licence: SC 18692) | |
Enumeration Date | 2014-01-14 |
Last Update Date | 2020-01-15 |