Individual
MILVIA NWUNFOR SUH FOMINYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
16778 W APACHE ST, GOODYEAR, AZ 85338-7433
(330) 926-8215
Mailing address
16778 W APACHE ST, GOODYEAR, AZ 85338-7433
(330) 926-8215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8206
AZ
Other
Enumeration date
06/13/2016
Last updated
09/12/2016
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