NPI | 1619325073 |
---|---|
Former Name | SHEENA MARSHON' FANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402365) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61281787) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2368875) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15045400) | |
Enumeration Date | 2016-05-26 |
Last Update Date | 2025-02-11 |