Healthcare Provider Details

I. General information

NPI: 1912824681
Provider Name (Legal Business Name): AQZA MENTAL HEALTH HAVEN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 BRIDGE ST # 1H
NASHUA NH
03060-3576
US

IV. Provider business mailing address

46 BRIDGE ST # 1H
NASHUA NH
03060-3576
US

V. Phone/Fax

Practice location:
  • Phone: 508-250-7071
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NAZIFAH NAMAGANDA
Title or Position: MANAGING MEMBER
Credential: PMHNP-BC, APRN
Phone: 603-208-3030