Individual
MS. KUNIKO NICOLE KUROSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1705 GARDNER RD, WILMINGTON, NC 28405-8873
(910) 343-5300
Mailing address
104 EDGEWATER LN, WILMINGTON, NC 28403-3748
(910) 777-1832
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
5008168
NC
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
5008168
NC
Other
Enumeration date
11/13/2015
Last updated
11/23/2015
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