NPI | 1386998680 |
---|---|
Former Name | CHELSEA ELIZABETH ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 1692) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-006460) |
363AS0400X Physician Assistant Surgical (Licence: WV 589) | |
363AS0400X Physician Assistant Surgical (Licence: WV 01692) | |
363A00000X Physician Assistant (Licence: GA 9236) | |
363A00000X Physician Assistant | |
363A00000X Physician Assistant (Licence: OH 50.004327) | |
363A00000X Physician Assistant (Licence: KY PA2338) | |
Enumeration Date | 2012-11-08 |
Last Update Date | 2024-03-05 |