NPI | 1700544293 |
---|---|
Former Name | AMY DELANO FELGENHOUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-141165) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-141165) |
Enumeration Date | 2021-12-02 |
Last Update Date | 2025-03-24 |