Provider Demographics
NPI:1114176526
Name:ABULHAIJA, ASHRAF (APRN)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:
Last Name:ABULHAIJA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:ASHRAF
Other - Middle Name:
Other - Last Name:ABU-HAYJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12902 MAGNOLIA DR.
Mailing Address - Street 2:MOFFITT CANCER CENTER
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612
Mailing Address - Country:US
Mailing Address - Phone:813-745-1831
Mailing Address - Fax:813-745-2645
Practice Address - Street 1:12902 MAGNOLIA DR.
Practice Address - Street 2:MOFFITT CANCER CENTER
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612
Practice Address - Country:US
Practice Address - Phone:813-745-1831
Practice Address - Fax:813-745-2645
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9274636363L00000X, 363LA2100X
UT4987215-4408363LA2100X
FLARNP9274636363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care