Provider Demographics
NPI:1255706305
Name:ABDULSALAM, NAFISAH (RN)
Entity type:Individual
Prefix:
First Name:NAFISAH
Middle Name:
Last Name:ABDULSALAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NAFISAH
Other - Middle Name:
Other - Last Name:ABDULSALAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11 INDIGO RD
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4540
Mailing Address - Country:US
Mailing Address - Phone:646-326-6071
Mailing Address - Fax:
Practice Address - Street 1:11 INDIGO RD
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4540
Practice Address - Country:US
Practice Address - Phone:646-326-6071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR19313600163WE0003X
NY707004163W00000X
NJ26NJ14872200363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163W00000XNursing Service ProvidersRegistered Nurse