Individual
TA-NISHA EMMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
1 PERIMETER PARK S STE 195A, BIRMINGHAM, AL 35243-2327
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, SAINT PAUL, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-134653
AL
363L00000X
Nurse Practitioner
318519
AZ
Other
Enumeration date
06/04/2015
Last updated
08/27/2025
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