| NPI | 1740739366 |
|---|---|
| Former Name | NICHOLAS BAGGETT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH APRN.CNP.019771) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10687736-4405) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2022-08-02 |