NPI | 1902080013 |
---|---|
Other Name | TONY BALDACCI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200850023NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 648845) |
163W00000X Registered Nurse (Licence: OR 200742895RN) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 18025) | |
Enumeration Date | 2007-12-26 |
Last Update Date | 2023-03-07 |