Individual
MRS. NINO MIMINOSHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 REINMAN RD, WARREN, NJ 07059-5740
(347) 524-3182
Mailing address
132 REINMAN RD, WARREN, NJ 07059-5740
(347) 524-3182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F351425-01
NY
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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