NPI | 1871790048 |
---|---|
Former Name | ANGELA STOCKWELL, HESKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.09390) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.09390) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2024-07-23 |