Provider Demographics
NPI:1922166537
Name:MUHAMMAD, NAQIYBA HANAAN (RN)
Entity Type:Individual
Prefix:MS
First Name:NAQIYBA
Middle Name:HANAAN
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:99 JESSE HILL JR DRIVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303
Mailing Address - Country:US
Mailing Address - Phone:404-730-1485
Mailing Address - Fax:404-224-3102
Practice Address - Street 1:1225 CAPITOL AVE SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-2707
Practice Address - Country:US
Practice Address - Phone:404-730-5406
Practice Address - Fax:404-224-3102
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN099825163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse