NPI | 1659368595 |
---|---|
Former Name | SUSAN R. CARNEGIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH APRN048042-23) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH RN048-042-21) |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NH 048042-23) | |
Enumeration Date | 2005-10-05 |
Last Update Date | 2019-06-05 |