NPI | 1588183206 |
---|---|
Former Name | DANA LENEAU MCDERMOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 101.0135057) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.021670) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.021670) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.021670) | |
Enumeration Date | 2017-09-13 |
Last Update Date | 2024-07-15 |