Individual
ANNA ANISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 NW 100TH AVE, CORAL SPRINGS, FL 33065-1550
(754) 235-5711
Mailing address
4400 NW 100TH AVE, CORAL SPRINGS, FL 33065-1550
(754) 235-5711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9456849
FL
363L00000X
Nurse Practitioner
Primary
11031595
FL
Other
Enumeration date
02/26/2024
Last updated
03/19/2024
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