Individual provider · NPI-1

Mariam Alhakim, CPNP-PC

Nurse Practitioner, Pediatrics · Anaheim, CA

NPI number1033694302
StatusActive
Last updated in NPPESJul 26, 2024

Details

NPI
1033694302
Entity type
Individual (NPI-1)
Name
Mariam Alhakim
Credential
CPNP-PC
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2018
Certification date
Jul 26, 2024
Last updated
Jul 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics95009868CAYes

Practice location

1110 W La Palma Ave
Anaheim, CA 92801-2821

Phone 714-991-3180

Mailing address

131 Sunset Cv
Irvine, CA 92602-0834

Phone 714-514-7220

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