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Individual
MRS. NICOLE CASSIE CORWIN
Active
Individual
MRS. NICOLE CASSIE CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
834973
CA
363L00000X
Nurse Practitioner
Primary
95004876
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
95004876
CA
Other
Enumeration date
10/26/2016
Last updated
12/06/2018
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