NPI | 1689453714 |
---|---|
Former Name | MELISSA ANNE HEENEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999148-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1654419) |
363L00000X Nurse Practitioner (Licence: CO RXN.0108207-NP) | |
Enumeration Date | 2023-09-27 |
Last Update Date | 2023-10-18 |