Individual
MRS. BIBI S KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6240 N DURANGO DR STE 120, LAS VEGAS, NV 89149-3941
(954) 923-7440
(844) 209-2827
Mailing address
PO BOX 906, RUSKIN, FL 33575-0906
(727) 744-7995
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3183022
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP3183022
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP3183022
FL
Other
Enumeration date
04/09/2009
Last updated
08/24/2022
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