Individual
MRS. TANISHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
13519 KITTY FORK RD, ORLANDO, FL 32828-9503
(850) 573-7847
Mailing address
13519 KITTY FORK RD, ORLANDO, FL 32828-9503
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11025281
FL
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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