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Individual
ANDREA MARIE TENNIS
Active
Individual
ANDREA MARIE TENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28260231A
IN
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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