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Individual
VANESSA ASP
Active
Individual
VANESSA ASP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN629502
PA
363LF0000X
Family Nurse Practitioner
Primary
SP022859
PA
Other
Enumeration date
08/29/2013
Last updated
11/05/2023
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