Provider Demographics
NPI:1720812563
Name:SABRI, NOORULHUDA ALAA
Entity type:Individual
Prefix:
First Name:NOORULHUDA
Middle Name:ALAA
Last Name:SABRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 STEWART VIEW TER
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-1265
Mailing Address - Country:US
Mailing Address - Phone:470-269-0783
Mailing Address - Fax:
Practice Address - Street 1:2614 STEWART VIEW TER
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-1265
Practice Address - Country:US
Practice Address - Phone:470-269-0783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA100040457374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide