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Individual

NITAL SAMPAT

Active
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Individual

NITAL SAMPAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000550
CA
367500000X
Certified Registered Nurse Anesthetist
RN558493
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100732
CRNA ID
PA
Enumeration date
01/06/2014
Last updated
03/17/2018
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