NPI | 1699850503 |
---|---|
Former Name | TRACEY LEVONE DOWNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN2058072) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NV APN001172) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 566577) | |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NV RN54886) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2022-03-10 |