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NPI Code Detail

MEDICARE: FAATIMAH ALI APRN

MEDICARE: FAATIMAH ALI APRN
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
1163W00000XRegistered Nurse385263NC
2363LP0808XPsychiatric/Mental Health Nurse Practitioner5023884NC

General Provider Information

NPI Number : 1720941958
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAATIMAH ALI APRN
Provider Business Mailing Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-446-5185
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-446-5185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 02/05/2026

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Directions to “ FAATIMAH ALI APRN” Practice Location

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