NPI | 1477167260 |
---|---|
Former Name | AMBER M STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009528) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9345032) |
Enumeration Date | 2020-08-31 |
Last Update Date | 2022-01-19 |