Provider Demographics
NPI:1902421886
Name:NAKANDI, AMINA
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:
Last Name:NAKANDI
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 1:7223 TYRONE AVE APT 212
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2691
Mailing Address - Country:US
Mailing Address - Phone:818-466-4127
Mailing Address - Fax:
Practice Address - Street 1:7223 TYRONE AVE APT 212
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2691
Practice Address - Country:US
Practice Address - Phone:818-466-4127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95170235163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse