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Individual

MARLI FRANCES TAICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1647073
CO
163W00000X
Registered Nurse
7014741
NY
163W00000X
Registered Nurse
95110404
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
0993072-NP
CO
363LP0200X
Pediatric Nurse Practitioner
95013896
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95013896
CA
05
95110404
CA
Enumeration date
06/22/2016
Last updated
02/18/2023
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