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Individual
TELISHA NICHOLE PRATER
Active
Individual
TELISHA NICHOLE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018834
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205549631
—
VA
05
—
1205549631
—
WV
05
—
7100880810
—
KY
Enumeration date
12/30/2022
Last updated
08/01/2023
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