NPI | 1972584324 |
---|---|
Former Name | NANCY A WLODAREZYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2352) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2352033) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NH 092889-23) | |
Enumeration Date | 2005-11-10 |
Last Update Date | 2023-12-26 |