Provider Demographics
NPI:1639962657
Name:ABOURIZK, NOOR E
Entity type:Individual
Prefix:
First Name:NOOR
Middle Name:E
Last Name:ABOURIZK
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 1:1400 W EDGEHILL RD APT 12
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92405-5100
Mailing Address - Country:US
Mailing Address - Phone:909-963-8535
Mailing Address - Fax:
Practice Address - Street 1:1400 W EDGEHILL RD APT 12
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92405-5100
Practice Address - Country:US
Practice Address - Phone:909-963-8535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula