Provider Demographics
NPI:1962149153
Name:QURAISHI, NAUREEN (NP)
Entity type:Individual
Prefix:
First Name:NAUREEN
Middle Name:
Last Name:QURAISHI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10948 MOJAVE SPRING DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-9134
Mailing Address - Country:US
Mailing Address - Phone:917-432-7178
Mailing Address - Fax:
Practice Address - Street 1:701 SHADOW LN STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4132
Practice Address - Country:US
Practice Address - Phone:702-522-9260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVF02220541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily