NPI | 1386965085 |
---|---|
Former Name | ADRIANNE NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007160) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4526-33) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003363A) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: WV 4526-33) | |
Enumeration Date | 2010-06-16 |
Last Update Date | 2023-08-30 |