Healthcare Provider Details

I. General information

NPI: 1619966835
Provider Name (Legal Business Name): ALINA KHALIFE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: ALINA KHALIFE RN

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 3865
APO AE
09126
DE

IV. Provider business mailing address

UNIT 3865
APO AE
09126
DE

V. Phone/Fax

Practice location:
  • Phone: 4-924-5199
  • Fax: 3183
Mailing address:
  • Phone: 4-924-5199
  • Fax: 3183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number412532-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: