NPI | 1750682647 |
---|---|
Former Name | STEPHANIE ANN METLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201507096NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 099000516RN) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 099000516RN) | |
Enumeration Date | 2010-11-08 |
Last Update Date | 2024-07-29 |