NPI | 1699291534 |
---|---|
Former Name | MICHELLE SARETTE MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.022138) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1142101) |
163W00000X Registered Nurse (Licence: OH 368237) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 321825) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71016623A) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3013854) | |
Enumeration Date | 2017-08-22 |
Last Update Date | 2025-08-18 |