Provider Demographics
NPI:1932869765
Name:MUHAMMAD, RASHIDA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:RASHIDA
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RASHIDA
Other - Middle Name:MARIE
Other - Last Name:MUHAMMAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RASHIDA MUHAMMAD
Mailing Address - Street 1:6435 W JEFFERSON BLVD # 303
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-6203
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:310 E DUPONT RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-8000
Practice Address - Country:US
Practice Address - Phone:260-452-4877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011635A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily