NPI | 1932907342 |
---|---|
Former Name | TIFFANY LAYNE RUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038810) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0038810) |
Enumeration Date | 2025-03-04 |
Last Update Date | 2025-03-04 |