Individual
NKEMNGONG ROSELINE NDIACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11125 N 52ND ST, TEMPLE TERRACE, FL 33617-2842
(813) 453-3881
Mailing address
11125 N 52ND ST, TEMPLE TERRACE, FL 33617-2842
(813) 453-3881
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
11032442
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11032442
FL
Other
Enumeration date
05/13/2024
Last updated
11/20/2024
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