Healthcare Provider Details

I. General information

NPI: 1124848015
Provider Name (Legal Business Name): NAHEELAH RABIYAH ABDULLAH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 HANCOCK ST STE 501N
QUINCY MA
02169-4486
US

IV. Provider business mailing address

1051 BERWIN ST
AKRON OH
44310-1445
US

V. Phone/Fax

Practice location:
  • Phone: 330-999-9999
  • Fax:
Mailing address:
  • Phone: 330-999-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number45765
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: