Individual provider · NPI-1

Zarrina Akhmedova

Nurse Practitioner, Family · Hackensack, NJ

NPI number1215687066
StatusActive
Last updated in NPPESMar 25, 2022

Details

NPI
1215687066
Entity type
Individual (NPI-1)
Name
Zarrina Akhmedova
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 25, 2022
Certification date
Mar 25, 2022
Last updated
Mar 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family26NJ01261000NJYes

Practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Phone 551-996-2000

Mailing address

30 Prospect Ave
Hackensack, NJ 07601-1915

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