NPI | 1790144970 |
---|---|
Former Name | LAURA ELISE PRATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1021155) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704315352) |
363LA2100X Nurse Practitioner Acute Care (Licence: TX 1021155) | |
363LA2100X Nurse Practitioner Acute Care (Licence: TN APN0000025383) | |
363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704315352) | |
363LA2200X Nurse Practitioner Adult Health (Licence: TN APN0000025383) | |
363LG0600X Nurse Practitioner Gerontology (Licence: TN APN0000025383) | |
Enumeration Date | 2016-02-17 |
Last Update Date | 2022-01-29 |