Provider Demographics
NPI:1669340352
Name:GERMAN, AZANIA DENLAINE ANGEL
Entity type:Individual
Prefix:MISS
First Name:AZANIA
Middle Name:DENLAINE ANGEL
Last Name:GERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89310 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-5218
Mailing Address - Country:US
Mailing Address - Phone:914-473-3024
Mailing Address - Fax:
Practice Address - Street 1:89310 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-5218
Practice Address - Country:US
Practice Address - Phone:914-473-3024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-25
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN11513163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty