MRS. LATIFA FEDAI


Address: 380 Person Street, Fayettevill, NC 28301
Phone: 9104832881

MRS. LATIFA FEDAI (NPI# 1023499886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023499886
Entity Type Individual
Full Name MRS. LATIFA FEDAI
Practice Address 380 Person Street
Fayettevill
NC 28301
Mailing Address 77 N Livingston Ave
Livingston
NJ 07039-2114
Practice Telephone 9104832881
Mailing Telephone 9737580985
Enumeration Date 2015-06-17
Last Update Date 2015-06-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
26NJ00456700 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 380 PERSON STREET
City FAYETTEVILL
State NC
Zip Code 28301

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NPI Name Taxonomy Address Enumeration
1134726219 Jenna Michelle Odneal Behavior Technician 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 2020-10-02
1790390094 Jessica Shellman Counselor 408 Person St. Ste 103, Fayetteville, NC 28301 2020-09-14
1487205951 Martha K Richardson Technician 720 Teachers Dr, Fayetteville, NC 28301 2019-09-25
1013568161 Angela Rena Locklear Counselor 211 Lamon St, Fayeteville, NC 28301 2019-09-20
1619535747 Teresa Wilson Contractor 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 2019-06-04
1912461815 Catherine Stevenson Nwogalanya Community Health Worker 1103 Hillsboro St., Fayetteville, NC 28301 2019-01-24
1811443187 Michael Carroll Counselor 308 Peterson Place, Fayetteville, NC 28301 2016-08-28
1265868939 Aci Support Specialists Community/Behavioral Health 1725 Venna Drive, Fayetteville, NC 28301 2013-09-25
1871929547 Aci Support Specialists Day Training, Developmentally Disabled Services 2820 Copenhagen Drive, Fayetteville, NC 28301 2013-09-25
1518217066 Deborah L. Hall Licensed Practical Nurse 528 Country Club Drive, Fayetteville, NC 28301 2012-09-12
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1508480823 Lauren Elizabeth Barkley Nurse Practitioner 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 2020-06-02
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Competitor

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City FAYETTEVILL
Zip Code 28301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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