Individual
NIZAR ISMAIL BOODHWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4000
Mailing address
3845 HUELVA CT, NAPLES, FL 34109-0328
(210) 867-2232
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11022689
FL
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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