NPI | 1437633435 |
---|---|
Former Name | AMANDA MARZANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI aprn02757) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN52177) |
163WD0400X Registered Nurse, Diabetes Educator (Licence: RI RN52177) | |
Enumeration Date | 2018-09-17 |
Last Update Date | 2023-01-04 |