NPI | 1467966366 |
---|---|
Former Name | CHELSEA SHUMATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77946-062) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-136811-062) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 20120025721) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 2017039223) | |
Enumeration Date | 2017-11-30 |
Last Update Date | 2021-12-21 |