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Individual
KESHIA EDSILL
Active
Individual
KESHIA EDSILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114751
NE
363LG0600X
Gerontology Nurse Practitioner
H164918
IA
Other
Enumeration date
03/30/2023
Last updated
04/08/2024
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