Provider Demographics
NPI:1063718948
Name:BAJRAMOVIC, HATIDZA (RN, AAPWCA)
Entity type:Individual
Prefix:MRS
First Name:HATIDZA
Middle Name:
Last Name:BAJRAMOVIC
Suffix:
Gender:F
Credentials:RN, AAPWCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32259-7010
Mailing Address - Country:US
Mailing Address - Phone:904-262-7352
Mailing Address - Fax:904-268-7352
Practice Address - Street 1:411 WALNUT DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32259-7010
Practice Address - Country:US
Practice Address - Phone:904-262-7352
Practice Address - Fax:904-268-7352
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide