Fanta Mian
Nurse Practitioner, Psych/Mental Health in Hackensack, New Jersey
1477216224- Practice location
- 25 E Salem St, Hackensack, NJ 07601-7427
- Phone
- 973-534-2734
- Fax
- —
- Last updated
- June 2, 2022
Fanta Mian is a Nurse Practitioner, Psych/Mental Health based in Hackensack, NJ. Fanta Mian practices in Hackensack, NJ. The NPI Number for Fanta Mian is 1477216224 and holds a License No. 26NJ01202000 (NJ). The current practice location address for Fanta Mian is 25 E Salem St, Hackensack, NJ 07601-7427 and can be reached out via phone at 973-534-2734.
Provider Profile Details
- NPI Number
- 1477216224
- Provider Name
- Fanta Mian
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 E Salem St, Hackensack, NJ 07601-7427
- Phone Number
- 973-534-2734
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 19, 2021
- Last Update Date
- June 2, 2022
- Certification Date
- May 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 E Salem St
Hackensack, NJ 07601-7427 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-7427
- Phone Number
- 973-534-2734
Provider Business Mailing Address Details
- Address
- 2552 Standish Ave
Union, NJ 07083-4939 - City
- Union
- State
- NJ
- Zip
- 07083-4939
- Phone Number
- 973-534-2734
License Information
- License Number
- 26NJ01202000
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fanta Mian?
The NPI number of Fanta Mian is 1477216224. It was assigned on October 19, 2021 and is currently active in the NPPES registry.
What is the specialty of Fanta Mian?
Fanta Mian is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01202000.
Where does Fanta Mian practice?
The practice location is 25 E Salem St, Hackensack, NJ 07601-7427. The office can be reached at 973-534-2734 (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 1477216224 directly on the NPPES registry website.