| NPI | 1851814172 |
|---|---|
| Former Name | TESSA NICOLE VANNATTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP134542) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134542) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP134542) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP134542) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-13 |