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Individual
VANESSA C ELDRIDGE
Active
Individual
VANESSA C ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
987026
TX
363LF0000X
Family Nurse Practitioner
AP141544
TX
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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