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Individual
MRS. ELIZABETH L THEPPANYA
Active
Individual
MRS. ELIZABETH L THEPPANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
172556-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11255-33
WI
Other
Enumeration date
04/12/2021
Last updated
11/29/2023
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