| NPI | 1780477562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 842728) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: CA 842728) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 842728) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 842728) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 842728) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: CA 842728) | |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: CA 842728) | |
| 163WH1000X Registered Nurse, Hospice (Licence: CA 842728) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 842728) | |
| 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: CA 842728) | |
| 163WH0200X Registered Nurse, Home Health (Licence: CA 842728) | |
| 163WS0200X Registered Nurse, School (Licence: CA 842728) | |
| 163WX0106X Registered Nurse, Occupational Health (Licence: CA 842728) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 842728) | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |