NPI | 1487070413 |
---|---|
Former Name | MELISSA ELKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP161131) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 088769-23) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0991094) | |
Enumeration Date | 2014-03-14 |
Last Update Date | 2022-08-23 |