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Individual
NINO GVELESIANI
Active
Individual
NINO GVELESIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ANP-BC, GNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305936
NY
363LG0600X
Gerontology Nurse Practitioner
F340839
NY
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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