NPI | 1588381701 |
---|---|
Former Name | HANEEFAH SHAFEEQUAH TUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11029552) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP001833) |
163W00000X Registered Nurse (Licence: FL RN9485289) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029552) | |
363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001833) | |
Enumeration Date | 2022-10-27 |
Last Update Date | 2024-01-22 |