Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 900334 | NC |
N | 363LA2200X | Nurse Practitioner - Adult Health | 900334 | NC |
NPI | 1023194198 |
---|---|
Provider Name | Mrs. Tena Wetona Messer |
First Address | Fort Myers, FL 33905-7808 |
Second Address | Asheville, NC 28806-2316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 23/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7000414 | (05) | NC |