Provider Demographics
NPI:1144724360
Name:ARONOV, NINA (FNP)
Entity type:Individual
Prefix:MRS
First Name:NINA
Middle Name:
Last Name:ARONOV
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:NINA
Other - Middle Name:
Other - Last Name:BADALOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6860 108TH ST STE SL1
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2973
Mailing Address - Country:US
Mailing Address - Phone:718-776-7210
Mailing Address - Fax:718-880-3861
Practice Address - Street 1:6860 108TH ST STE SL1
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2973
Practice Address - Country:US
Practice Address - Phone:718-776-7210
Practice Address - Fax:718-880-3861
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2023-03-23
Deactivation Date:2021-10-24
Deactivation Code:
Reactivation Date:2021-10-29
Provider Licenses
StateLicense IDTaxonomies
NYF347958-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily