Mana Halimatou
Individual provider Active NPI Nurse's Aide · Wheaton, MD
NPI 1265017677 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1265017677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- A00171414 (MD)
- Practice address
- 1131 University Blvd W Apt 2007
Wheaton, MD 20902-3336 - Phone
- (240) 476-1094
- NPI assigned
- Mar 17, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00171414 | MD | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A00171414 | MD | Yes |
Addresses
Primary practice location
1131 University Blvd W Apt 2007
Wheaton, MD 20902-3336
Mailing address
1131 University Blvd W Apt 2007
Wheaton, MD 20902-3336
Phone (240) 476-1094
Other providers in Wheaton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.