Mariam C Ajmal, FNP
Nurse Practitioner, Family in San Diego, California
1104585090- Practice location
- 9663 Tierra Grande St Ste 101, San Diego, CA 92126-4569
- Phone
- 858-547-0077
- Fax
- —
- Last updated
- December 8, 2021
Mariam C Ajmal, FNP is a Nurse Practitioner, Family based in San Diego, CA. Mariam C Ajmal, FNP holds the professional credentials of FNP. The NPI number for Mariam C Ajmal, FNP is 1104585090 and holds license No. 95017543 (CA). The current practice location address is 9663 Tierra Grande St Ste 101, San Diego, CA 92126-4569 and the office can be reached by phone at 858-547-0077. The NPI was assigned on December 8, 2021 and the record was last updated in NPPES on December 8, 2021.
●Provider Profile Details
- NPI Number
- 1104585090
- Provider Name
- Mariam C Ajmal
- Credential
- FNP
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Enumeration Date
- December 8, 2021
- Last Update Date
- December 8, 2021
- Certification Date
- December 8, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 9663 Tierra Grande St Ste 101
San Diego, CA 92126-4569 - City
- San Diego
- State
- California
- ZIP
- 92126-4569
- Country
- US
- Phone Number
- 858-547-0077
✉Business Mailing Address
- Address
- 17015 Bernardo Center Dr Apt A
San Diego, CA 92128-2593 - City
- San Diego
- State
- CA
- ZIP
- 92128-2593
- Phone Number
- 818-536-3573
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | Yes | 95017543 | CA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in San Diego →?Frequently Asked Questions
What is the NPI number of Mariam C Ajmal, FNP?
The NPI number of Mariam C Ajmal, FNP is 1104585090. It was assigned on December 8, 2021 and is currently active in the NPPES registry.
What is the specialty of Mariam C Ajmal, FNP?
Mariam C Ajmal, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 95017543 (CA).
Where does Mariam C Ajmal, FNP practice?
The practice location is 9663 Tierra Grande St Ste 101, San Diego, CA 92126-4569. The office can be reached at 858-547-0077 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104585090 directly on the NPPES registry website at npiregistry.cms.hhs.gov.