Individual
DR. FATIMA NADEEM MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5127
(401) 444-3056
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
CLP05264
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP05264
RI
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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