Provider Demographics
NPI:1558129601
Name:MAROUF, NADIA MELISSA
Entity Type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:MELISSA
Last Name:MAROUF
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 1:1011 SW 110TH TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4121
Mailing Address - Country:US
Mailing Address - Phone:754-244-5823
Mailing Address - Fax:
Practice Address - Street 1:1011 SW 110TH TER
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-4121
Practice Address - Country:US
Practice Address - Phone:754-244-5823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician