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Individual
MS. VANAJA THOTTEN
Active
Individual
MS. VANAJA THOTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
209.020323
IL
363LA2200X
Adult Health Nurse Practitioner
209.020323
IL
363LG0600X
Gerontology Nurse Practitioner
209.020323
IL
Other
Enumeration date
01/02/2020
Last updated
04/01/2022
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