Provider Demographics
NPI:1407487978
Name:HUSSEN, AMINA
Entity Type:Individual
Prefix:
First Name:AMINA
Middle Name:
Last Name:HUSSEN
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 1:14603 KINDERHOOK TERRACE
Mailing Address - Street 2:BURTONSIVLLE MD, 20866
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866
Mailing Address - Country:US
Mailing Address - Phone:301-917-4065
Mailing Address - Fax:
Practice Address - Street 1:4201 BUTTERWORTH PL NW APT 310
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4552
Practice Address - Country:US
Practice Address - Phone:202-450-2247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty