Provider Demographics
NPI:1922702901
Name:ADNAN, ADIBA
Entity Type:Individual
Prefix:
First Name:ADIBA
Middle Name:
Last Name:ADNAN
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 1:153 NAGLE ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-3220
Mailing Address - Country:US
Mailing Address - Phone:973-641-6984
Mailing Address - Fax:
Practice Address - Street 1:153 NAGLE ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-3220
Practice Address - Country:US
Practice Address - Phone:973-641-6984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula