NPI | 1760797427 |
---|---|
Former Name | RENEE A MORTURANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191093) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2265805) |
363L00000X Nurse Practitioner (Licence: PA SP016239) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2265805) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1003175) | |
Enumeration Date | 2010-08-18 |
Last Update Date | 2024-09-12 |