Provider Demographics
NPI:1629645080
Name:QADEER, MAIMOONA SULTANA (RN)
Entity Type:Individual
Prefix:
First Name:MAIMOONA
Middle Name:SULTANA
Last Name:QADEER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MAIMOONA
Other - Middle Name:
Other - Last Name:SULTANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:150 W ROUTE 66
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-6207
Mailing Address - Country:US
Mailing Address - Phone:626-852-5028
Mailing Address - Fax:626-852-5064
Practice Address - Street 1:150 W ROUTE 66
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-6207
Practice Address - Country:US
Practice Address - Phone:626-852-5028
Practice Address - Fax:626-852-5064
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA541944163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health