| NPI | 1659180610 |
|---|---|
| Former Name | KATIE J CUSHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ND 201342) |
| Additional Taxonomies | 208600000X Surgery (Licence: ND 201342) |
| 2086S0127X Surgery, Trauma Surgery (Licence: ND 201342) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ND 201342) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ND 201342) | |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-02-14 |