NPI | 1457898934 |
---|---|
Former Name | CHANDRA ANISHA PIERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.000526) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000526) |
163W00000X Registered Nurse (Licence: IL 041.338520) | |
363LF0000X Nurse Practitioner, Family (Licence: IL 209.015433) | |
Enumeration Date | 2017-01-23 |
Last Update Date | 2024-05-15 |