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Individual

DEBRA GADDY COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167882
VA
363LP0200X
Pediatric Nurse Practitioner
300160
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10353718
VA
05
7000932
NC
01
7539762
AETNA
NC
01
B9033
MEDCOST
NC
05
QNP034
SC
Enumeration date
12/02/2005
Last updated
11/09/2010
Update your record

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