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Individual
EDELWEISS VON MAACK
Active
Individual
EDELWEISS VON MAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
18217
TN
363LG0600X
Gerontology Nurse Practitioner
95008619
CA
363LG0600X
Gerontology Nurse Practitioner
AP60451797
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
GAA-NP004959
GA
Other
Enumeration date
06/09/2014
Last updated
08/06/2026
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