NPI | 1982144754 |
---|---|
Former Name | NANCY JEAN VANSANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901974) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MS 903936) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2023-05-18 |