Individual
MAYUKO NAKANISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 SW 109TH AVE, #226, MIAMI, FL 33173-4455
(305) 412-2386
Mailing address
7490 SW 86TH WAY, GAINESVILLE, FL 32608-8432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9170471
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9170471
FL
Other
Enumeration date
03/21/2008
Last updated
11/13/2019
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