Individual
EL AGATHE ASOPO TANYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1747 FORT SMITH BLVD, DELTONA, FL 32725-3728
(202) 834-7722
Mailing address
1747 FORT SMITH BLVD, DELTONA, FL 32725-3728
(202) 834-7722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9275188
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9275188
FL
Other
Enumeration date
12/20/2011
Last updated
04/01/2025
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