NPI | 1740053057 |
---|---|
Former Name | CHASITY SPRING REAGAN-LANGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61497256) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34753) |
Enumeration Date | 2023-10-30 |
Last Update Date | 2023-10-30 |