Abdirahman Jama Abdi
Nurse Practitioner, Family in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1497405229
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1497405229
- Entity type
- Individual (NPI-1)
- Name
- Abdirahman Jama Abdi
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2022
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 274555 | AZ | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | RN203345 | AZ |
Practice location
15333 N Pima Rd Ste 305Scottsdale, AZ 85260-2717
Phone 657-237-2450
Mailing address
6001 E Pima St Apt 100Tucson, AZ 85712-4361
Phone 602-615-6848
Other practice locations
6001 E Pima St Apt 100
Tucson, AZ 85712-4361
Tucson, AZ 85712-4361
Phone 602-615-6848
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