Provider Demographics
NPI:1750523833
Name:AHMED, FATIMA (RN)
Entity type:Individual
Prefix:MS
First Name:FATIMA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 N MARTIN LUTHER KING DR
Mailing Address - Street 2:APT 316
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-3976
Mailing Address - Country:US
Mailing Address - Phone:414-699-9747
Mailing Address - Fax:
Practice Address - Street 1:1407 N MARTIN LUTHER KING DR
Practice Address - Street 2:APT 316
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3976
Practice Address - Country:US
Practice Address - Phone:414-699-9747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI152315163WH0200X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics