NPI | 1992035943 |
---|---|
Former Name | STEFFANI T HARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.11226) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 100106) |
363LF0000X Nurse Practitioner, Family (Licence: CO 990089) | |
363LF0000X Nurse Practitioner, Family (Licence: GA RN257389) | |
Enumeration Date | 2010-01-13 |
Last Update Date | 2022-07-21 |