NPI | 1841681798 |
---|---|
Former Name | SHELLY NORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7718) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7718) |
Enumeration Date | 2015-02-13 |
Last Update Date | 2024-12-13 |