NPI | 1841740115 |
---|---|
Former Name | KELSEY TINCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 125904) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 0000210240) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21946) | |
Enumeration Date | 2016-10-10 |
Last Update Date | 2021-07-23 |