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Individual
VLADIMIR VETKIN
Active
Individual
VLADIMIR VETKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN622044
PA
363L00000X
Nurse Practitioner
SP019596
PA
363LF0000X
Family Nurse Practitioner
Primary
SP019596
PA
Other
Enumeration date
11/14/2018
Last updated
01/28/2026
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