NPI | 1578904355 |
---|---|
Former Name | HOLLY ANN VARENHORST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2093) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 218485-6) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IA L112508) | |
Enumeration Date | 2013-07-09 |
Last Update Date | 2020-10-06 |