NPI | 1790067056 |
---|---|
Former Name | ALLISON NIENABER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009003) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12581-NP) |
363LF0000X Nurse Practitioner, Family (Licence: OH CNP.12581) | |
Enumeration Date | 2011-09-13 |
Last Update Date | 2021-12-06 |