Nyirasuku, Immaculee

Nyirasuku, Immaculee is an individual health care provider with primary practice located at 3205 Bear Run Blvd , Orange Park FL 32065-7334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nyirasuku, Immaculee can be contacted via phone (414) 331-0919.

Contact Information

Primary practice address
3205 Bear Run Blvd Orange Park FL 32065-7334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN9365710 Florida

Profile Details

NPI number 1568942092
LBN Legal business name Nyirasuku, Immaculee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2018
Last updated Aug 15th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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