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Individual
NANCY SISTACHS
Active
Individual
NANCY SISTACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 93677163
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9367163
FL
Other
Enumeration date
09/16/2014
Last updated
02/01/2017
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