Provider Demographics
NPI:1811582653
Name:QURAISHI, NISHAAT MASOOD (FNP-C)
Entity type:Individual
Prefix:
First Name:NISHAAT
Middle Name:MASOOD
Last Name:QURAISHI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 RICHLAND SPRING LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8881
Mailing Address - Country:US
Mailing Address - Phone:267-574-1632
Mailing Address - Fax:
Practice Address - Street 1:1410 CRABB RIVER RD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1414
Practice Address - Country:US
Practice Address - Phone:281-545-8841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144819363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily