NPI | 1437242724 |
---|---|
Former Name | KYMBERLY RAVEN VAN EVERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R878897) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 1116194) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000010481) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R878897) | |
Enumeration Date | 2006-10-01 |
Last Update Date | 2019-12-30 |