Provider Demographics
NPI:1902366248
Name:IBRAHIM, ZAINAB ARINOLA
Entity Type:Individual
Prefix:
First Name:ZAINAB
Middle Name:ARINOLA
Last Name:IBRAHIM
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 1:3559 55TH AVE APT 355955TH
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1044
Mailing Address - Country:US
Mailing Address - Phone:240-413-9232
Mailing Address - Fax:
Practice Address - Street 1:3559 55TH AVE APT 355955TH
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1044
Practice Address - Country:US
Practice Address - Phone:240-413-9232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13835163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1165974071148OtherSTATE IDENTIFICATION
1165974071148OtherSTATE IDENTIFICATION