Provider Demographics
NPI:1972230373
Name:ABDULLAHI, ANISA
Entity type:Individual
Prefix:
First Name:ANISA
Middle Name:
Last Name:ABDULLAHI
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 1:594 UPLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4991
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:594 UPLAND AVENUE
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:OH
Practice Address - Zip Code:43231
Practice Address - Country:US
Practice Address - Phone:614-649-4548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Yes376J00000XNursing Service Related ProvidersHomemaker