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Individual
DEEPA VIJAY PANCHANG
Active
Individual
DEEPA VIJAY PANCHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN152615
LA
363LF0000X
Family Nurse Practitioner
AP09991
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1130245
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP09991
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2483650
—
LA
Enumeration date
06/21/2018
Last updated
04/17/2026
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