NPI | 1841631330 |
---|---|
Former Name | MATTHEW MICHAEL PARR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8585) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN198428) |
163WP0000X Registered Nurse, Pain Management (Licence: AZ RN198428) | |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP8585) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP8585) | |
Enumeration Date | 2013-07-11 |
Last Update Date | 2022-03-18 |