| NPI | 1780237859 |
|---|---|
| Former Name | HALEY BROOKE NEVELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34000) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-127930) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-127930) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2023-06-12 |