Organization · NPI-2

Al Nisa INC

Nurse Practitioner · Hollywood, FL

NPI number1770513681
StatusActive
Last updated in NPPESAug 27, 2007

Details

NPI
1770513681
Entity type
Organization (NPI-2)
Legal business name
Al Nisa INC
Organization subpart
No
Enumeration date
Jul 4, 2006
Last updated
Aug 27, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerARNP 2589502FLYes

Practice location

3939 Hollywood Blvd
Suite 3b
Hollywood, FL 33021-6749

Phone 954-237-6409 · Fax 954-272-6012

Mailing address

3939 Hollywood Blvd
Suite 3b
Hollywood, FL 33021-6749

Phone 954-237-6409 · Fax 954-272-6012

Authorized official

Josefina Patricia Munajj
President
9542376409

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