| NPI | 1407553167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61478008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 116106) |
| 163W00000X Registered Nurse (Licence: AK 217583) | |
| 163WE0003X Registered Nurse Emergency (Licence: WA RN60712454) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: HI APRN-4371-0) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AK 217615) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: WA RN60712454) | |
| 163WS0121X Registered Nurse Plastic Surgery (Licence: WA RN60712454) | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-07-23 |