Individual
ANEESA ENNAB
Active
Individual
ANEESA ENNAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1173755
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
745090
NY
Other
Enumeration date
06/22/2023
Last updated
01/16/2025
Update your record
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