Individual
MRS. MARIA AUSIANNIKAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3522 ARCADIA DR, CARSON CITY, NV 89705-6903
(786) 263-9175
Mailing address
3522 ARCADIA DR, CARSON CITY, NV 89705-6903
(786) 263-9175
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
857371
NV
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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