NPI | 1619480027 |
---|---|
Former Name | CHERYL ANN NANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.023978) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV 93998) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2020-12-24 |