Individual
VILSY THEKKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
225 E 7TH ST, APOPKA, FL 32703-5327
(407) 905-8827
(407) 660-1667
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 905-8998
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11007624
FL
363LG0600X
Gerontology Nurse Practitioner
SP019221
PA
Other
Enumeration date
05/03/2019
Last updated
05/11/2022
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