NPI | 1790072114 |
---|---|
Former Name | MEGAN R HOVERMALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APRN002621) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28176882A) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: NV APRN002621) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003807A) | |
Enumeration Date | 2011-07-06 |
Last Update Date | 2023-12-12 |