| NPI | 1952554883 |
|---|---|
| Former Name | COURTNEY J. ANDRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005866) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5866P) |
| 363L00000X Nurse Practitioner (Licence: IN 71002780A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3005866) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KY 3005866) | |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2021-07-27 |