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Individual

AUSTRE BERTA MEDINA

Active
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Individual

AUSTRE BERTA MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71018122A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71018122A
IN

Other

Enumeration date
05/21/2026
Last updated
05/21/2026
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