NPI | 1497159933 |
---|---|
Former Name | VASHTI A. FURREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201708495-NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014032489) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2014032489) | |
Enumeration Date | 2014-10-13 |
Last Update Date | 2017-12-08 |