Individual
AMAL ABDULKADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5060 SHOREHAM PL STE 330, SAN DIEGO, CA 92122-5976
(877) 840-6956
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2281356
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029375
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CMP191017
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110111365A
—
MA
Enumeration date
08/09/2007
Last updated
03/27/2025
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