NPI | 1497208847 |
---|---|
Former Name | MARILYN P O'MERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP211176) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.19207) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP016245) | |
363LF0000X Nurse Practitioner, Family (Licence: WV APRN81605NP) | |
Enumeration Date | 2016-08-02 |
Last Update Date | 2021-11-17 |