Doctor Name: | MRS. ANTHONIA ATINUKE SULAIMAN |
NPI Number: | 1154724284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 595196 |
Business Practice Address: | 24221 La Glorita Cir Newhall, CA - 913212303 |
Business Phone Number: | 6616099864 |
Business Fax Number: | |
Mailing Address: | 24221 La Glorita Cir, NEWHALL |
State: | CA |
Postal Code: | 913212303 |
Phone Number: | 6616099864 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2014 |
NPI Last Update Date: | 10/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 595196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |