Provider Demographics
NPI:1083358154
Name:QURESHI, ANILA (APRN)
Entity Type:Individual
Prefix:
First Name:ANILA
Middle Name:
Last Name:QURESHI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4808 POSEIDON PL
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7264
Mailing Address - Country:US
Mailing Address - Phone:561-670-5238
Mailing Address - Fax:
Practice Address - Street 1:4808 POSEIDON PL
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7264
Practice Address - Country:US
Practice Address - Phone:561-670-5238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11019329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily