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Individual
NINA FLANAGAN
Active
Individual
NINA FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP-002052-H
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103531360-0001
—
PA
01
—
50076564
CAPITAL BLUE CROSS
PA
01
—
893029
BLUE CARE
PA
Enumeration date
09/15/2005
Last updated
03/11/2019
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