is a Pediatrics in , . practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for is 1154531127. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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Address | , , |
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1154531127 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
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State | () |
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Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 363Lp0200X |
Licence No | 12411 |
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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Q026412 | TN | -- |
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