NPI | 1356885743 |
---|---|
Former Name | ALAN RAY HARRELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0994307-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1658658) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994307-NP) | |
Enumeration Date | 2016-12-05 |
Last Update Date | 2024-04-24 |