Individual provider · NPI-1

Ayesha Amjad Ali, FNP-C, WHCNP

Nurse Practitioner, Family · Fresno, CA

NPI number1831593326

StatusActive

Last updated in NPPESSep 23, 2021

Details

NPI: 1831593326
Entity type: Individual (NPI-1)
Name: Ms. Ayesha Amjad Ali
Credential: FNP-C, WHCNP
Sex: Female
Sole proprietor: Yes
Enumeration date: Oct 14, 2014
Certification date: Sep 23, 2021
Last updated: Sep 23, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	95001202	CA	Yes
363LW0102X	Nurse Practitioner, Women's Health	236107	CA

Other names

Ayesha Tasawar Hussain (Former Name)

Practice location

3645 W Shaw Ave Ste 101
Fresno, CA 93711-3206

Phone 559-457-6800

Mailing address

Po Box 1559
Bakersfield, CA 93302-1559

Phone 661-635-3050 · Fax 661-326-1347

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