Individual provider · NPI-1

Memuna Ali, RN, NP

Nurse Practitioner · Mountain View, CA

NPI number1750739652
StatusActive
Last updated in NPPESJun 1, 2016

Details

NPI
1750739652
Entity type
Individual (NPI-1)
Name
Memuna Ali
Credential
RN, NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 1, 2016
Last updated
Jun 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerNP 9956CAYes
163W00000X Registered NurseRN 350990CA

Practice location

465 Fairchild Dr
Suite # 112
Mountain View, CA 94043-2250

Phone 408-582-2162

Mailing address

465 Fairchild Dr
Suite # 112
Mountain View, CA 94043-2250

Phone 408-582-2162

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