| NPI | 1386020063 |
|---|---|
| Former Name | RONNIE SUE DEARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA CNPRN234540) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN234540) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN234540) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MA CNPRN234540) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2022-08-03 |