Individual
NNENNA EMELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 VAN ALLEN LOOP, AUBURNDALE, FL 33823-2770
(863) 397-6581
Mailing address
1818 VAN ALLEN LOOP, AUBURNDALE, FL 33823-2770
(863) 397-6581
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP 9280839
FL
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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