Individual
NAILA TARIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3745 GROVE AVE, LORAIN, OH 44055-2734
(440) 240-1655
Mailing address
3745 GROVE AVE, LORAIN, OH 44055-2734
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209029797
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0040096
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2303527
MA
Other
Enumeration date
05/29/2018
Last updated
10/14/2025
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