Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 384001 | CA |
N | 363LC1500X | Nurse Practitioner - Community Health | 384001 | CA |
NPI | 1740559301 |
---|---|
Provider Name | Marjoree Neer |
First Address | Bishop, CA 93514-8058 |
Second Address | Bishop, CA 93514-8058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2011 |
Last Update Date | 27/12/2011 |