Individual
ALIYA FIDAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 N BUSINESS DR STE 202, FAYETTEVILLE, AR 72703-5288
(479) 582-0778
(479) 582-0778
Mailing address
3715 N BUSINESS DR STE 202, FAYETTEVILLE, AR 72703-5288
(479) 582-0778
(479) 582-0778
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
873223
TX
163WG0000X
General Practice Registered Nurse
Primary
873223
TX
Other
Enumeration date
05/19/2017
Last updated
07/21/2022
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