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Individual
ISATU TATA KANU
Active
Individual
ISATU TATA KANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1041869
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R225358
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RNP1041869
DC
Other
Enumeration date
06/22/2012
Last updated
03/16/2026
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