NPI | 1568985257 |
---|---|
Former Name | NICOLE MARIE SZUDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 5299) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 5299) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9918) | |
Enumeration Date | 2017-07-25 |
Last Update Date | 2024-02-21 |