Individual
ANITA K KOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1545 PULASKI HWY, BEAR, DE 19701-1303
(302) 832-8701
Mailing address
1545 PULASKI HWY, BEAR, DE 19701-1303
(302) 832-8701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0012258
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0012258
DE
Other
Enumeration date
03/16/2023
Last updated
08/23/2024
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