Individual
ANTONETTE SALLAY KANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-BC
Contact information
Practice address
621 RIDGELY AVE STE 201, ANNAPOLIS, MD 21401-1083
(410) 224-4887
(410) 224-1428
Mailing address
9500 S DADELAND BLVD STE 200, MIAMI, FL 33156-2866
(410) 224-4887
(410) 224-1428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R208761
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020092732
FNP-BC
—
01
—
R208761
CRNP-FAMILY
MD
Enumeration date
04/28/2021
Last updated
03/12/2026
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