| NPI | 1609275049 |
|---|---|
| Former Name | NICKI DAWN KIRBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN68714-FNP-BC) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN68714-FNP-BC) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172549) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2024-09-20 |