Doctor Name: | EMIOLA SANNI |
NPI Number: | 1003264755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 791363 |
Business Practice Address: | 7406 Barton Lake Ct Richmond, TX - 774072873 |
Business Phone Number: | 2814551758 |
Business Fax Number: | |
Mailing Address: | 7406 Barton Lake Ct, RICHMOND |
State: | TX |
Postal Code: | 774072873 |
Phone Number: | 2814551758 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2016 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 791363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |