NPI | 1740662642 |
---|---|
Former Name | JASON ROSS KLAPSTEIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997363-NP) |
Enumeration Date | 2015-06-26 |
Last Update Date | 2022-04-29 |