Provider Demographics
NPI:1053077388
Name:ABDI, HALIMA (RN)
Entity Type:Individual
Prefix:
First Name:HALIMA
Middle Name:
Last Name:ABDI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 GLYNN MILL DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-4815
Mailing Address - Country:US
Mailing Address - Phone:612-458-5348
Mailing Address - Fax:
Practice Address - Street 1:3213 GLYNN MILL DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4815
Practice Address - Country:US
Practice Address - Phone:612-458-5348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA202698163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse