NPI | 1982202743 |
---|---|
Former Name | JASON PAUL JUHASZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 65851) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 65851) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: ID 65851) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: ID 65851) | |
Enumeration Date | 2020-10-14 |
Last Update Date | 2022-09-02 |