Provider Demographics
NPI:1194975029
Name:ABDULAZIZ FEENEY, HANA (RD)
Entity type:Individual
Prefix:
First Name:HANA
Middle Name:
Last Name:ABDULAZIZ FEENEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:HANA
Other - Middle Name:M
Other - Last Name:ABDULAZIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:PO BOX 43160
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3160
Mailing Address - Country:US
Mailing Address - Phone:520-722-3777
Mailing Address - Fax:520-296-6224
Practice Address - Street 1:9117 E CALLE CASCADA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-5712
Practice Address - Country:US
Practice Address - Phone:520-429-3418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ926299133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ926299OtherLICENSE