NPI | 1366777351 |
---|---|
Former Name | MEREDITH WOOD MICHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3010984) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010984) |
363LA2200X Nurse Practitioner, Adult Health (Licence: SC 4040) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN204002) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 29283) | |
Enumeration Date | 2009-10-08 |
Last Update Date | 2022-08-07 |