NPI | 1740560614 |
---|---|
Former Name | CARRIE ANN PLEASNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 815854) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.340803) |
363L00000X Nurse Practitioner (Licence: NV 815854) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.008547) | |
Enumeration Date | 2011-08-24 |
Last Update Date | 2022-10-25 |