NPI | 1407223571 |
---|---|
Former Name | LINDSEY M TOLLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 69001) |
Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: WV 136) |
282NC0060X General Acute Care Hospital, Critical Access (Licence: WV 136) | |
282NR1301X General Acute Care Hospital, Rural | |
Enumeration Date | 2015-08-25 |
Last Update Date | 2022-07-21 |