Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | ARNP3361842 | FL |
NPI | 1033691183 |
---|---|
Provider Name | Nkiruka Aniagoh |
First Address | Miramar, FL 33027-5965 |
Second Address | Miramar, FL 33027-5965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2018 |
Last Update Date | 05/09/2018 |