NPI | 1689429060 |
---|---|
Former Name | ALLISON CANDICE CREEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK NURR37840) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: AK NURR37840) |
Enumeration Date | 2024-04-19 |
Last Update Date | 2024-04-19 |