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Arifa Khanam Alam

Nurse Practitioner in New Haven, CT. Individual provider (NPI-1).

NPI number1215602115
StatusActive
Last updated in NPPESSep 29, 2021

Details

NPI
1215602115
Entity type
Individual (NPI-1)
Name
Arifa Khanam Alam
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 12, 2021
Certification date
Sep 29, 2021
Last updated
Sep 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner9506CTYes
363LF0000X Nurse Practitioner, Family9506CT

Practice location

1450 Chapel St
New Haven, CT 06511-4405

Phone 203-645-7944

Mailing address

13 Webb St Fl 1
Hamden, CT 06517-3924

Phone 203-645-7944

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