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Aliya Fidai

Registered Nurse, General Practice in Fayetteville, AR. Individual provider (NPI-1).

NPI number1003343146
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1003343146
Entity type
Individual (NPI-1)
Name
Aliya Fidai
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice873223TXYes
163WC0200X Registered Nurse, Critical Care Medicine873223TX

Practice location

3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288

Phone 479-582-0778 · Fax 479-582-0778

Mailing address

3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288

Phone 479-582-0778 · Fax 479-582-0778

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