NPI | 1538312780 |
---|---|
Former Name | LAWANDA NADINE CURRY-MACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9428628) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010006) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010006) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9428628) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302244) | |
Enumeration Date | 2008-11-01 |
Last Update Date | 2022-09-09 |