Provider Demographics
NPI:1922638469
Name:ALI, BILQUIS (RN)
Entity Type:Individual
Prefix:
First Name:BILQUIS
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 W GERMANTOWN PIKE APT 1014
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1023
Mailing Address - Country:US
Mailing Address - Phone:215-266-5872
Mailing Address - Fax:
Practice Address - Street 1:353 W JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1992
Practice Address - Country:US
Practice Address - Phone:610-234-6115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA46643601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health