Provider Demographics
NPI:1740804129
Name:SYEDA, IFFA BATOOL (BSN RN)
Entity type:Individual
Prefix:
First Name:IFFA
Middle Name:BATOOL
Last Name:SYEDA
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6308 WINDCREST DR APT 2518
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3023
Mailing Address - Country:US
Mailing Address - Phone:469-237-8206
Mailing Address - Fax:
Practice Address - Street 1:6308 WINDCREST DR APT 2518
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3023
Practice Address - Country:US
Practice Address - Phone:469-237-8206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX974604163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse