Healthcare Provider Details

I. General information

NPI: 1215505870
Provider Name (Legal Business Name): NOURA N NASHED PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 06/10/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4037 BALL RD
CYPRESS CA
90630-3463
US

IV. Provider business mailing address

3006 CLEARWOOD CT
FULLERTON CA
92835-4311
US

V. Phone/Fax

Practice location:
  • Phone: 714-821-1750
  • Fax:
Mailing address:
  • Phone: 562-743-7644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number84077
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: