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Individual

MS. INTISAR IBRAHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, FNP, PMHNP-BC

Contact information

Practice address
318 21ST AVE STE 103, PATERSON, NJ 07501-3538
(201) 233-2999
(334) 373-4231
Mailing address
318 21ST AVE STE 103, PATERSON, NJ 07501-3538
(201) 233-2999
(334) 373-4231

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00467900
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00467900
NJ

Other

Enumeration date
10/24/2013
Last updated
11/10/2023
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