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Individual
CHASIDI IRENE PLAINE
Active
Individual
CHASIDI IRENE PLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200089
ND
363LF0000X
Family Nurse Practitioner
11013
MN
363LP2300X
Primary Care Nurse Practitioner
11013
MN
363LP2300X
Primary Care Nurse Practitioner
2012931
MN
Other
Enumeration date
11/16/2023
Last updated
07/08/2024
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