NPI | 1659468114 |
---|---|
Former Name | CHERYL ANN LONABAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019279) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0028446) |
363LF0000X Nurse Practitioner, Family (Licence: SC 23063) | |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000351) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2024-02-28 |