| NPI | 1578804340 |
|---|---|
| Other Name | NATE DEARDORFF |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 95206418) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95032485) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2024-11-04 |