| NPI | 1801902077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 830840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95076372) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 138434) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003362) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10005338) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003362) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 299234) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 72693) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10005338) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95076372) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61402595) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003362) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-03-08 |