NPI | 1871566992 |
---|---|
Former Name | BEVERLY J. HELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 46266) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 102987) |
163W00000X Registered Nurse (Licence: KS 14-76838-112) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MO 102987) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: OR 10031168) | |
Enumeration Date | 2006-02-09 |
Last Update Date | 2024-08-29 |