NPI | 1972835015 |
---|---|
Former Name | ALICIA MARIE BUCHANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0006027-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 191607) |
363LF0000X Nurse Practitioner, Family (Licence: CO 6027) | |
Enumeration Date | 2010-01-30 |
Last Update Date | 2020-09-15 |