Provider Demographics
NPI:1033589098
Name:NUHMAN, NAZRA (NP)
Entity Type:Individual
Prefix:MRS
First Name:NAZRA
Middle Name:
Last Name:NUHMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:NUSRA
Other - Middle Name:
Other - Last Name:MUKKUVANKADAVATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-248-5161
Mailing Address - Fax:336-716-0030
Practice Address - Street 1:250 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6792
Practice Address - Country:US
Practice Address - Phone:336-248-5161
Practice Address - Fax:336-716-0030
Is Sole Proprietor?:No
Enumeration Date:2015-10-03
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008302363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care