NPI | 1891243986 |
---|---|
Professional Name | LYNNE THALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9336466) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9336466) |
363LP2300X Nurse Practitioner Primary Care (Licence: TN APN22377) | |
Enumeration Date | 2016-09-17 |
Last Update Date | 2021-11-11 |