NPI | 1831821420 |
---|---|
Other Name | RILEY NICOLE GREENWALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2022028517) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2022010858) |
163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MO 2018021822) | |
Enumeration Date | 2022-06-30 |
Last Update Date | 2022-08-12 |