Provider Demographics
NPI:1720618978
Name:AMIN, NAZAAHAH (MS, ERYT)
Entity Type:Individual
Prefix:
First Name:NAZAAHAH
Middle Name:
Last Name:AMIN
Suffix:
Gender:F
Credentials:MS, ERYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 NORTH GILMOR STREET
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217
Mailing Address - Country:US
Mailing Address - Phone:443-271-6315
Mailing Address - Fax:
Practice Address - Street 1:636 NORTH GILMOR STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-2121
Practice Address - Country:US
Practice Address - Phone:443-271-6315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist