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Individual
MISS TESS ANNA INTERLICCHIA
Active
Individual
MISS TESS ANNA INTERLICCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
5463821
NY
163W00000X
Registered Nurse
RN725497
PA
163WH0200X
Home Health Registered Nurse
51639
ME
363LF0000X
Family Nurse Practitioner
Primary
342284
NY
363LF0000X
Family Nurse Practitioner
P021329
PA
Other
Enumeration date
03/21/2007
Last updated
04/29/2022
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