NPI | 1588097091 |
---|---|
Former Name | MEGAN TREACY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP2736) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1627632) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991242-NP) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MN R189990-6) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: MN CNP2736) | |
Enumeration Date | 2013-08-20 |
Last Update Date | 2018-03-17 |