NPI | 1881033439 |
---|---|
Former Name | NICOLE BAXTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202006403NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201350111NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60579125) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60568890) | |
363L00000X Nurse Practitioner (Licence: OR 201341028RN) | |
Enumeration Date | 2013-06-17 |
Last Update Date | 2022-10-12 |