NPI | 1821515602 |
---|---|
Former Name | BREANNE M EINCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H125559) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IA H125559) |
363LA2200X Nurse Practitioner Adult Health (Licence: IA H125559) | |
363LC0200X Nurse Practitioner Critical Care Medicine (Licence: IA H125559) | |
363LG0600X Nurse Practitioner Gerontology (Licence: IA H125559) | |
Enumeration Date | 2017-08-23 |
Last Update Date | 2022-07-21 |