Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 069323 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 125055437 | IL |
Y | 207RC0000X | Internist - Cardiovascular Disease | 31383 | NE |
NPI | 1003063959 |
---|---|
Provider Name | Dr. Moneera Nur Haque |
First Address | Scottsbluff, NE 69363-2393 |
Second Address | Scottsbluff, NE 69361-4602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2008 |
Last Update Date | 02/02/2019 |