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Individual
MRS. SHERMIN S MOMIN
Active
Individual
MRS. SHERMIN S MOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
907623
TX
363L00000X
Nurse Practitioner
1048220
TX
363LF0000X
Family Nurse Practitioner
Primary
1048220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
NONE
—
Enumeration date
04/05/2021
Last updated
08/02/2021
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