Individual
NURUDEEN DINTIE MAHAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-3213
(928) 336-3215
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN281904
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
AP5554
AZ
363LA2200X
Adult Health Nurse Practitioner
NP07335
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2407292
—
OH
Enumeration date
12/29/2005
Last updated
01/02/2025
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