NPI | 1619343803 |
---|---|
Former Name | TANYA FAYE DUNCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011389) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5011389) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000020158) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2025-09-15 |