| NPI | 1891336038 |
|---|---|
| Former Name | HANNAH ELIZABETH BLEDSOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2019037888) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2019037868) |
| 163W00000X Registered Nurse (Licence: TN 233131) | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2021-04-01 |