Individual provider · Type 1 NPI

Maryam Ibrahim, AGNP-BC

Adult Health Nurse Practitioner · Freehold, NJ

NPI number 1407231012 Active

Practice location

901 W Main St
Freehold, NJ 07728-2537

Fax (732) 866-0018

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF307226-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1407231012

Maryam Ibrahim, AGNP-BC's National Provider Identifier is 1407231012, issued on Jul 24, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Freehold, NJ. The record was last updated on Aug 21, 2022.