NPI | 1861012015 |
---|---|
Former Name | ZACHARY AUSTIN HILL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 12068) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 209707) |
363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN236642) | |
163W00000X Registered Nurse (Licence: GA RN236642) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT 12068) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN236642) | |
Enumeration Date | 2020-04-17 |
Last Update Date | 2023-08-20 |