Individual provider · Type 1 NPI
Mariam C. Ajmal, FNP
Family Nurse Practitioner · San Diego, CA
NPI number
1104585090
Active
Practice location
9663 Tierra Grande St Ste 101
San Diego, CA 92126-4569
Mailing address
17015 Bernardo Center Dr Apt A
San Diego, CA 92128-2593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95017543 (CA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104585090
Mariam C. Ajmal, FNP's National Provider Identifier is 1104585090, issued on Dec 8, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Dec 8, 2021.