Provider Demographics
NPI:1831867647
Name:SAADEIN, ALIYAH MARIAM (RN)
Entity type:Individual
Prefix:
First Name:ALIYAH
Middle Name:MARIAM
Last Name:SAADEIN
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 1:50 BUCKEYE CIR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-4350
Mailing Address - Country:US
Mailing Address - Phone:770-787-7908
Mailing Address - Fax:
Practice Address - Street 1:50 BUCKEYE CIR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-4350
Practice Address - Country:US
Practice Address - Phone:770-787-7908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-06
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA278317163WL0100X, 163WM0102X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn