| NPI | 1518723642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN276495) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: GA RN276495) |
| 163WC0400X Registered Nurse Case Management (Licence: GA RN276495) | |
| 163WC1500X Registered Nurse Community Health (Licence: GA RN276495) | |
| 163WD0400X Registered Nurse Diabetes Educator (Licence: GA RN276495) | |
| 163WG0000X Registered Nurse General Practice (Licence: GA RN276496) | |
| 163WH0200X Registered Nurse Home Health (Licence: GA RN276495) | |
| 163WN1003X Registered Nurse Nutrition Support (Licence: GA RN276495) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: GA RN276495) | |
| 374T00000X Religious Nonmedical Nursing Personnel (Licence: GA RN276495) | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-03-26 |