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Individual
TERESA KITAEFF
Active
Individual
TERESA KITAEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001131496
VA
363LN0000X
Neonatal Nurse Practitioner
Primary
0024166353
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010133947
—
VA
Enumeration date
07/28/2006
Last updated
05/08/2009
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