NPI | 1861112658 |
---|---|
Former Name | KIMBERLYN JOY NAGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 280152) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 280152) |
Enumeration Date | 2022-08-31 |
Last Update Date | 2025-02-17 |