| NPI | 1629796982 |
|---|---|
| Former Name | MISTY JO MAPES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71014809A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 28152890A) |
| 163W00000X Registered Nurse (Licence: IN 28152890A) | |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IN 28152890C) | |
| 163W00000X Registered Nurse (Licence: CA 604722) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28152890A) | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-01-16 |