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Individual

MRS. BRITTANY NOEL VISSEPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
4440 WEST 95TH STREET, SUITE AIP OAK LAWN, OAK LAWN, IL 60453-2600
(708) 684-5400
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.406161
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209.025809
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
209.025809
IL

Other

Enumeration date
07/08/2022
Last updated
12/16/2022
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