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 |