Provider Demographics
NPI:1366615619
Name:MUSLIMAT AL-NISAA INC
Entity type:Organization
Organization Name:MUSLIMAT AL-NISAA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANIF
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-466-8686
Mailing Address - Street 1:4107 SPRINGDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-7513
Mailing Address - Country:US
Mailing Address - Phone:410-466-8686
Mailing Address - Fax:410-466-5949
Practice Address - Street 1:5115 LIBERTY HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-7056
Practice Address - Country:US
Practice Address - Phone:410-466-8686
Practice Address - Fax:410-466-5949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR093471363LF0000X
MDR136864367A00000X
MDR133804367A00000X
MDH0061034207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty