Keisha Monice Vilsaint PNP

NPI 1700192531 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1700192531
Gender Female
Enumeration Date 08/31/2010
Last Updated 08/31/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
340 MAGNOLIA CIRCLE
325TH MDOS/ 325TH MEDICAL GROUP TREATMENT FACILITY
TYNDALL AFB FL, 32403-5612, US
Phone (850) 283-7681
Fax (850) 283-7620
Business Location
340 MAGNOLIA CIRCLE
325TH MDOS/ 325TH MEDICAL GROUP TREATMENT FACILITY
TYNDALL AFB FL, 32403-5612, US
Phone (850) 283-7681
Fax (850) 283-7620
Toxanomy
Taxonomy Code 363LP0200X
License State Maryland
License Number R164209
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According to our database, Keisha Monice Vilsaint PNP NPI is 1700192531, taxonomy code is 363LP0200X and license number is R164209, license state is located at Maryland. Keisha Monice Vilsaint PNP physically located at 340 Magnolia Circle, Tyndall Afb FL, 32403-5612. NPI Number Keisha Monice Vilsaint PNP has the Individual type.

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1700192531 NPI number is provided on an as is basis without warranty of any kind. 1700192531 is maintained by the National Plan & Provider Enumeration System. The contents of Keisha Monice Vilsaint PNP are for informational purposes only.