Aaliyah Nura Fardan-Alexander
Nurse's Aide in Stockbridge, GA. Individual provider (NPI-1).
NPI number1154883791
StatusActive
Last updated in NPPESOct 6, 2019
Details
- NPI
- 1154883791
- Entity type
- Individual (NPI-1)
- Name
- Aaliyah Nura Fardan-Alexander
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Last updated
- Oct 6, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | CN000300048937 | GA | Yes |
Practice location
105 SingletreeStockbridge, GA 30281
Phone 678-770-3967
Mailing address
105 SingletreeStockbridge, GA 30281-4858
Phone 678-770-3967
Other practice locations
100 Governors Trce
Peachtree City, GA 30269-4856
Peachtree City, GA 30269-4856
Phone 770-268-2520
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Nurse's Aide providers in Stockbridge · All 2,378 providers in Stockbridge
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