NPI | 1730895376 |
---|---|
Former Name | CASEY DEANNE CULBRETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 1730895376) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 244284) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5017656) | |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-04-11 |