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Individual

MRS. MAISA LE

Active
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Individual

MRS. MAISA LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
579168
CA
363LF0000X
Family Nurse Practitioner
Primary
15976
CA
363LF0000X
Family Nurse Practitioner
342743
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15976
FAMILY NURSE PRACTITIONER
CA
01
342743
NURSE PRACTITIONER LICENSE
NY
01
579168
REGISTERED NURSE
CA
01
63584
PUBLIC HEALTH NURSE
CA
01
745506
REGISTERED NURSE LICENSE
NY
Enumeration date
08/31/2006
Last updated
10/19/2021
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