NPI | 1720178700 |
---|---|
Former Name | SHELLY ANN BARNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP4020) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN168191) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME R050690) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME AP081793) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2023-01-06 |