Provider Demographics
NPI:1114421211
Name:ZAINAB, HALIMA (FNP)
Entity Type:Individual
Prefix:
First Name:HALIMA
Middle Name:
Last Name:ZAINAB
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9919 TOPAZ AVE APT 154
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-8007
Mailing Address - Country:US
Mailing Address - Phone:781-600-5628
Mailing Address - Fax:
Practice Address - Street 1:15791 BEAR VALLEY RD
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-1746
Practice Address - Country:US
Practice Address - Phone:760-949-1231
Practice Address - Fax:877-738-3841
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2306197363LF0000X
CANP95008881363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily