Individual provider · Type 1 NPI

Naif Nasiruddin Mansury

Student in an Organized Health Care Education/Training Program · Tahlequah, OK

NPI number 1609709500 Active

Practice location

1400 E Downing St
Tahlequah, OK 74464-3324

Call (918) 456-0641 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609709500

Naif Nasiruddin Mansury's National Provider Identifier is 1609709500, issued on Jun 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tahlequah, OK. The record was last updated on Jun 8, 2026.