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Individual
TANILLE LEANA LOUIS
Active
Individual
TANILLE LEANA LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PHMNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN01719
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2298328
MA
Other
Enumeration date
12/01/2016
Last updated
07/13/2021
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