MEDICARE: NOOR A ALAINA FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN9371206	FL
2	363LF0000X	Family Nurse Practitioner	RN293548	GA
3	363LF0000X	Family Nurse Practitioner	1156716	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518317304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOOR A ALAINA FNP-C

Provider Business Mailing Address
First Line	:	3710 CORAL SPRINGS DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-7413
Country	:	US
Telephone Number	:	754-802-7741
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 PRESTON PARK BLVD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-3656
Country	:	US
Telephone Number	:	972-867-4658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	04/19/2024

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