Basic Information
Provider Information
NPI: 1114421211
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAINAB
FirstName: HALIMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9919 TOPAZ AVE APT 154
Address2:  
City: HESPERIA
State: CA
PostalCode: 923458007
CountryCode: US
TelephoneNumber: 7816005628
FaxNumber:  
Practice Location
Address1: 15791 BEAR VALLEY RD
Address2:  
City: HESPERIA
State: CA
PostalCode: 923451746
CountryCode: US
TelephoneNumber: 7609491231
FaxNumber: 8777383841
Other Information
ProviderEnumerationDate: 03/22/2018
LastUpdateDate: 05/05/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN2306197MAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XNP95008881CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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