Provider Demographics
NPI:1184387912
Name:HANIF, OMAIRA (BS, BSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:OMAIRA
Middle Name:
Last Name:HANIF
Suffix:
Gender:F
Credentials:BS, BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 EVELINA TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-8541
Mailing Address - Country:US
Mailing Address - Phone:520-954-8203
Mailing Address - Fax:
Practice Address - Street 1:8701 EVELINA TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-8541
Practice Address - Country:US
Practice Address - Phone:520-954-8203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2024-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-302494163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant