MEDICARE: AIDA SULTANOVIC NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F10250659	AL

General Provider Information

NPI Number	:	1487516159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIDA SULTANOVIC NP

Provider Business Mailing Address
First Line	:	3317 MEYERS MEADOW LN
Second Line	:
City	:	FOLEY
State	:	AL
Zip	:	36535-4966
Country	:	US
Telephone Number	:	404-509-3569
Fax Number	:

Provider Business Practice Location Address
First Line	:	3317 MEYERS MEADOW LN
Second Line	:
City	:	FOLEY
State	:	AL
Zip	:	36535-4966
Country	:	US
Telephone Number	:	404-509-3569
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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