Provider Demographics
NPI:1598545097
Name:KIRNES, ANTWINIKA (HOMEMAKER COMAPANION)
Entity Type:Individual
Prefix:
First Name:ANTWINIKA
Middle Name:
Last Name:KIRNES
Suffix:
Gender:F
Credentials:HOMEMAKER COMAPANION
Other - Prefix:
Other - First Name:DESIRABLE
Other - Middle Name:
Other - Last Name:HEALINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DESIRABLE HEALINGS
Mailing Address - Street 1:PO BOX 310842
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33680-0842
Mailing Address - Country:US
Mailing Address - Phone:813-705-4595
Mailing Address - Fax:
Practice Address - Street 1:401 E JACKSON ST STE 2340
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5226
Practice Address - Country:US
Practice Address - Phone:813-705-4595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X
FL2396860376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker