Provider Demographics
NPI:1841053881
Name:BAJRAMI, FATLINDA LINDA
Entity type:Individual
Prefix:
First Name:FATLINDA
Middle Name:LINDA
Last Name:BAJRAMI
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 1:33 BEEKMAN DR
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-2608
Mailing Address - Country:US
Mailing Address - Phone:413-883-0641
Mailing Address - Fax:
Practice Address - Street 1:33 BEEKMAN DR
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2608
Practice Address - Country:US
Practice Address - Phone:413-883-0641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant