NPI | 1992712434 |
---|---|
Former Name | NITA ANN FLANAGIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 12154) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 12154) |
363L00000X Nurse Practitioner (Licence: TN 125823) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2013-08-20 |