Individual
NANCY NASILELE IMASIKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP
Contact information
Practice address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(888) 580-1060
Mailing address
608 CORONATION GDNS, SOUTH BEND, IN 46637-4806
(646) 541-9187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013977A
IN
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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