Provider Demographics
NPI:1124644760
Name:SULEIMAN, MUJEEBAT (RN)
Entity type:Individual
Prefix:
First Name:MUJEEBAT
Middle Name:
Last Name:SULEIMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 LAKE CAROLYN PKWY APT 3082
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4672
Mailing Address - Country:US
Mailing Address - Phone:412-983-1774
Mailing Address - Fax:
Practice Address - Street 1:801 LAKE CAROLYN PKWY APT 3082
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-4672
Practice Address - Country:US
Practice Address - Phone:412-983-1774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX930878163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn