NPI | 1912956095 |
---|---|
Former Name | DEBORAH PITTENGER CORDREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN2751012) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2751012) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2023-03-01 |