Provider Demographics
NPI:1083294607
Name:NURE, MERIAM G
Entity Type:Individual
Prefix:
First Name:MERIAM
Middle Name:G
Last Name:NURE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6104 TAMMY DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-1525
Mailing Address - Country:US
Mailing Address - Phone:703-217-1977
Mailing Address - Fax:
Practice Address - Street 1:6104 TAMMY DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-1525
Practice Address - Country:US
Practice Address - Phone:703-217-1977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program