| NPI | 1427301589 |
|---|---|
| Other Name | ADDIE MAY WAKEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-101152) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-RN-LIC-76552) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-101152) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60311597) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202000431NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60311597) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2024-11-07 |