Provider Demographics
NPI:1821761438
Name:ESSMIDI, NADA (RN)
Entity Type:Individual
Prefix:
First Name:NADA
Middle Name:
Last Name:ESSMIDI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NADA
Other - Middle Name:
Other - Last Name:SALEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:238 87TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4912
Mailing Address - Country:US
Mailing Address - Phone:347-634-6978
Mailing Address - Fax:
Practice Address - Street 1:238 87TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-4912
Practice Address - Country:US
Practice Address - Phone:347-634-6978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY755738163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse