Ahmad Habib, FNP
Nurse Practitioner, Family in Sacramento, CA. Individual provider (NPI-1).
NPI number1164053880
StatusActive
Last updated in NPPESMay 9, 2024
Details
- NPI
- 1164053880
- Entity type
- Individual (NPI-1)
- Name
- Ahmad Habib
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2020
- Certification date
- May 9, 2024
- Last updated
- May 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95029998 | CA | Yes |
| 106E00000X | Assistant Behavior Analyst | – | CA |
Practice location
8191 Timberlake Way Ste 400Sacramento, CA 95823-5419
Phone 916-688-8888
Mailing address
Po Box 5157Modesto, CA 95352-5157
Phone 209-572-2589
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