Individual
MS. KADIAN RENAE MIJIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
10221 YALE AVE, BROOKSVILLE, FL 34613-8307
(352) 405-1125
Mailing address
10221 YALE AVE, BROOKSVILLE, FL 34613-8307
(352) 405-1125
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11010538
FL
Other
Enumeration date
11/11/2021
Last updated
04/26/2022
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