| NPI | 1750733937 |
|---|---|
| Former Name | COLLEEN ADELE STOGSDILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H149695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016013950) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016013950) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016013950) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2020010067) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2016013950) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-02-20 |