Individual
NINA ANZIE EMELINE NGUIMBOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
255 W 5TH ST SW, ROME, GA 30165-2817
(706) 528-9110
(706) 528-9113
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN193824
GA
Other
Enumeration date
04/11/2017
Last updated
07/11/2023
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