NPI | 1619162997 |
---|---|
Former Name | NADINE M EARLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NH 058235-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME AP081033) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2023-07-15 |