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 |