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Individual
DORIS L CHITWOOD
Active
Individual
DORIS L CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 511
SC
363LF0000X
Family Nurse Practitioner
APN 511
SC
363LX0106X
Occupational Health Nurse Practitioner
APN 511
SC
364S00000X
Clinical Nurse Specialist
APN 511
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2083
MEDCOST
—
05
—
NP0355
—
SC
01
—
S874448753
MEDICARE ID - AGAPE PRIMARY CARE
SC
Enumeration date
03/20/2006
Last updated
12/20/2010
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