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Individual

PELAGIE TARA SUFFRINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3035
MN
363LW0102X
Women's Health Nurse Practitioner
CP000487
SD
363LW0102X
Women's Health Nurse Practitioner
R1382989
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP000487
CNP LICENSE
SD
01
R035692
RN LICENSE
SD
Enumeration date
12/04/2006
Last updated
02/20/2019
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