| NPI | 1598217176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.026152) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-84134-021) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP211078) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12248) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 113834) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 883875) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61127400) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 116021) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC003498) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA A161673) | |
| 363L00000X Nurse Practitioner (Licence: IN 71006657A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 63791) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APRN.CNP.026152) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 252672) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3013926) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2025-10-10 |