NPI | 1417983164 |
---|---|
Former Name | MISTY K CARRINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R26168) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 171311) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2010-12-01 |