NPI | 1629453790 |
---|---|
Former Name | LAUREN ANDREA MCCLELLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993044-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0993044-NP) |
363LF0000X Nurse Practitioner, Family (Licence: DC RN1033847) | |
Enumeration Date | 2015-07-29 |
Last Update Date | 2024-10-07 |