Provider Demographics
NPI:1275713554
Name:UKANI, HAFIZA AZIZ (NP)
Entity Type:Individual
Prefix:MRS
First Name:HAFIZA
Middle Name:AZIZ
Last Name:UKANI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 MOSSY BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7777
Mailing Address - Country:US
Mailing Address - Phone:678-777-7859
Mailing Address - Fax:
Practice Address - Street 1:2445 MOSSY BRANCH DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-7777
Practice Address - Country:US
Practice Address - Phone:678-777-7859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN137261363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily