Individual
ELISSA HERMAN POOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5016926
NC
363LA2200X
Adult Health Nurse Practitioner
POOR-QN9XF
NC
Other
Enumeration date
09/13/2022
Last updated
12/13/2022
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