Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 11005360 | FL |
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN11005360 | FL |
NPI | 1003440645 |
---|---|
Provider Name | Nafees Zehra Hussain |
First Address | Orlando, FL 32806-1015 |
Second Address | Orlando, FL 32806-1015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2020 |
Last Update Date | 17/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
105938900 | (05) | FL |