Provider Demographics
NPI:1326859208
Name:AMIN, SADIA (RN)
Entity type:Individual
Prefix:
First Name:SADIA
Middle Name:
Last Name:AMIN
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 1:4125 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-1617
Mailing Address - Country:US
Mailing Address - Phone:314-583-2723
Mailing Address - Fax:502-362-1201
Practice Address - Street 1:4125 S 3RD ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-1617
Practice Address - Country:US
Practice Address - Phone:502-205-1299
Practice Address - Fax:502-362-1201
Is Sole Proprietor?:No
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1147368163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse