NPI | 1528678372 |
---|---|
Former Name | CHELSEY WAMACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004151) |
Enumeration Date | 2020-08-06 |
Last Update Date | 2025-05-02 |