Individual
MR. BARIDUANEN BRIGHT NKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5060 N 19TH AVE STE 102, PHOENIX, AZ 85015-3211
(602) 702-6963
Mailing address
5060 N 19TH AVE STE 102, PHOENIX, AZ 85015-3211
(602) 702-6963
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
223407
AZ
Other
Enumeration date
03/22/2019
Last updated
05/07/2019
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