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Individual
AYA AKID
Active
Individual
AYA AKID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AG-CNS
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
1043014
TX
364SA2200X
Adult Health Clinical Nurse Specialist
1043014
TX
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
1043014
TX
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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