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Individual
PATRICIA L CALVIN
Active
Individual
PATRICIA L CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209006968
IL
363LF0000X
Family Nurse Practitioner
Primary
209006968
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209006968
ADVANCE PRACTICE NURSE
IL
Enumeration date
03/19/2008
Last updated
09/12/2012
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