Individual
BIBISH MUKENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W PINELOCH AVE STE 23, ORLANDO, FL 32806-6100
(407) 852-2760
(321) 843-6729
Mailing address
102 W PINELOCH AVE STE 23, ORLANDO, FL 32806-6100
(407) 852-2760
(321) 843-6729
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11034059
FL
363LF0000X
Family Nurse Practitioner
6731
CT
363LF0000X
Family Nurse Practitioner
AP135197
TX
363LF0000X
Family Nurse Practitioner
F339941
NY
Other
Enumeration date
10/20/2016
Last updated
02/17/2025
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