NPI | 1679934517 |
---|---|
Former Name | DREW K PHELAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403681) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 711470) |
Enumeration Date | 2016-03-18 |
Last Update Date | 2021-09-01 |