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Individual
MRS. BRITTANY NOEL VISSEPO
Active
Individual
MRS. BRITTANY NOEL VISSEPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.406161
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209.025809
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
209.025809
IL
Other
Enumeration date
07/08/2022
Last updated
12/16/2022
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