NPI | 1992264626 |
---|---|
Former Name | CASSIDY MARIE CONNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017110) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994155-NP) |
363LF0000X Nurse Practitioner, Family (Licence: NC 15743457) | |
Enumeration Date | 2019-03-12 |
Last Update Date | 2023-05-26 |