NPI | 1386945905 |
---|---|
Former Name | ADRIENNE E BADORF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP606493681) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60649951) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP606493681) | |
Enumeration Date | 2010-11-12 |
Last Update Date | 2024-04-23 |