NPI | 1588174163 |
---|---|
Former Name | ABBY LYNN DEBUSK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN301503) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23073) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024177599) | |
Enumeration Date | 2017-10-09 |
Last Update Date | 2022-02-15 |