NPI | 1700516069 |
---|---|
Former Name | JANE ANN CALLAHAN COATS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 203474-8900) |
Enumeration Date | 2022-06-10 |
Last Update Date | 2022-06-10 |