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Individual
MARYJANE BAHIYYIH CORGNATI
Active
Individual
MARYJANE BAHIYYIH CORGNATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
064044-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
064044-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031732
—
VT
05
—
3110854
—
NH
Enumeration date
08/12/2017
Last updated
02/18/2019
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