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Individual
SHYLA MICHELLE WITTHAUS
Active
Individual
SHYLA MICHELLE WITTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.384423
IL
363LF0000X
Family Nurse Practitioner
Primary
209.011227
IL
Other
Enumeration date
04/12/2016
Last updated
04/20/2021
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