| NPI | 1700332673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: DC R1003138912) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: DC 1700332673.) |
| 163W00000X Registered Nurse (Licence: DC 1700332673.) | |
| 163WH0200X Registered Nurse Home Health (Licence: DC 1700332673.) | |
| 163WP0000X Registered Nurse Pain Management (Licence: DC 1700332673.) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: DC 1700332673.) | |
| 163WC2100X Registered Nurse Continence Care (Licence: DC 1700332673.) | |
| 163WA2000X Registered Nurse Administrator (Licence: DC 1700332673.) | |
| 163WR0400X Registered Nurse Rehabilitation (Licence: DC 1700332673.) | |
| 376G00000X Nursing Home Administrator (Licence: DC 1700332673.) | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: DC 1700332673.) | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |