Individual
MRS. NKEM ANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3006 GRACE AVENUE, BRONX, NY 10469-3229
(347) 416-8683
Mailing address
3006 GRACE AVENUE, BRONX, NY 10469-3229
(718) 219-9218
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
815708
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15072400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
405971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
815708
RN LICENSE
NY
Enumeration date
03/21/2022
Last updated
07/08/2024
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