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Individual
NOVA LA MARR PREVAL
Active
Individual
NOVA LA MARR PREVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R213039
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R213039
MD
Other
Enumeration date
03/05/2019
Last updated
02/16/2023
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