NPI | 1659434033 |
---|---|
Other Name | BARBARA ELLEN FESSENDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009952-CRNP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA RN348762LRN) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP004796HCRNP) | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2016-07-20 |