MS. KUNIKO NICOLE KUROSU


Address: 1705 Gardner Rd, Wilmington, NC 28405-8873
Phone: 9103435300

MS. KUNIKO NICOLE KUROSU (NPI# 1184098162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184098162
Entity Type Individual
Full Name MS. KUNIKO NICOLE KUROSU
Credential AGNP
Practice Address 1705 Gardner Rd
Wilmington
NC 28405-8873
Mailing Address 104 Edgewater Ln
Wilmington
NC 28403-3748
Practice Telephone 9103435300
Mailing Telephone 9107771832
Enumeration Date 2015-11-13
Last Update Date 2015-11-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
5008168 NC Physician Assistants & Advanced Practice Nursing Providers
Y 364SG0600X Clinical Nurse Specialist
Specialization: Gerontology
5008168 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1705 GARDNER RD
City WILMINGTON
State NC
Zip Code 28405-8873

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Taxonomy Information

Taxonomy Code 364SG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306127527 Gohar Karami Clinical Nurse Specialist 200 Shallowford Reserve Dr #303, Lewisville, NC 27023 2011-09-01
1811455728 Julie Henderson Clinical Nurse Specialist 920 Church St N, Concord, NC 28025-2927 2019-03-10

Competitor

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City WILMINGTON
Zip Code 28405

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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