NPI | 1750183455 |
---|---|
Former Name | MADELYN RENEE STRONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4043126) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1166176) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2025-03-25 |
Last Update Date | 2025-08-21 |