NPI | 1508193459 |
---|---|
Other Name | BEN SUMERFORD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 884013) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R884013) |
Enumeration Date | 2009-11-13 |
Last Update Date | 2024-08-16 |