Individual
ARISA NIMNUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9972 66TH RD, APT-5E, REGO PARK, NY 11374-4460
(718) 671-2100
Mailing address
9972 66TH RD, APT-5E, REGO PARK, NY 11374-4460
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
597145
NY
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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