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Individual

ROSINA HANNILORA VICTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APN,CNM, WHNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
209014902
IL
367A00000X
Advanced Practice Midwife
Primary
209014901
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209014901
STATE LICENSE
IL
Enumeration date
11/17/2016
Last updated
05/24/2021
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