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Individual
CHINNAPA R GADE
Active
Individual
CHINNAPA R GADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041368825
IL
363L00000X
Nurse Practitioner
Primary
AP129918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041368825
IL DEPARTMENT OF PROFESSIONAL REGULATION
IL
01
—
AP129918
ADVANCED PRACTICE NURSE LICENSE
TX
Enumeration date
09/09/2008
Last updated
09/02/2022
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