Healthcare Provider Details

I. General information

NPI: 1285547380
Provider Name (Legal Business Name): SHARIFAH MOUSA ALOTAIBI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WEST CAMPUS DRIVE YALE SCHOOL OF NURSING
ORANGE CT
06477
US

IV. Provider business mailing address

1 CAMPBELL AVE #24
WEST HAVEN CT
06516
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-6455
  • Fax:
Mailing address:
  • Phone: 203-214-9329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number231257
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: