| NPI | 1851175699 |
|---|---|
| Professional Name | VIDALLAH MULLEY NORDQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14480) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 14480-33) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 230193-30) | |
| 163W00000X Registered Nurse (Licence: WI 230193) | |
| 363L00000X Nurse Practitioner (Licence: WI 230193-30) | |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-02-19 |