Provider Demographics
NPI:1053645549
Name:QUAZI, NASIMA N/A (LPN)
Entity Type:Individual
Prefix:MS
First Name:NASIMA
Middle Name:N/A
Last Name:QUAZI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:QUAZI
Other - Middle Name:N/A
Other - Last Name:NASIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:6172 S FUNDY WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3860
Mailing Address - Country:US
Mailing Address - Phone:303-929-4681
Mailing Address - Fax:
Practice Address - Street 1:2550 S PARKER RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1622
Practice Address - Country:US
Practice Address - Phone:303-614-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45770164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse