Provider Demographics
NPI:1912782293
Name:NAGEEB, AMIRA (MSN, RN, ACNPC, CCRN)
Entity Type:Individual
Prefix:
First Name:AMIRA
Middle Name:
Last Name:NAGEEB
Suffix:
Gender:F
Credentials:MSN, RN, ACNPC, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3861 E PINON CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-3257
Mailing Address - Country:US
Mailing Address - Phone:346-204-8797
Mailing Address - Fax:
Practice Address - Street 1:3861 E PINON CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-3257
Practice Address - Country:US
Practice Address - Phone:346-204-8797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ222187363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care