Individual
FATIMA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
570 CHERRY ST, ELIZABETH, NJ 07208-1748
(908) 327-7091
Mailing address
570 CHERRY ST, ELIZABETH, NJ 07208-1748
(908) 327-7091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00627800
NJ
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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