Active NPIIndividual provider

Bushra Mirza, FNP

Nurse Practitioner, Family in Brooklyn, New York

NPI Number1649068495
Practice location
4802 10TH Ave, Brooklyn, NY 11219-2916
Fax
—
Last updated
April 30, 2025

Bushra Mirza is a Nurse Practitioner, Family based in Brooklyn, NY. Bushra Mirza practices in Brooklyn, NY and has the professional credentials of FNP. The NPI Number for Bushra Mirza is 1649068495 and holds a License No. F356395-01 (NY). The current practice location address for Bushra Mirza is 4802 10TH Ave, Brooklyn, NY 11219-2916 and can be reached out via phone at 718-283-3012.

Provider Profile Details

NPI Number
1649068495
Provider Name
Bushra Mirza
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4802 10TH Ave, Brooklyn, NY 11219-2916
Phone Number
718-283-3012
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 30, 2025
Last Update Date
April 30, 2025
Certification Date
April 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4802 10TH Ave
Brooklyn, NY 11219-2916
Zip
11219-2916
Phone Number
718-283-3012
Brooklyn, NY 11219Get directions →

Provider Business Mailing Address Details

Address
3 Cambridge RD
Wharton, NJ 07885-1636
City
Wharton
State
NJ
Zip
07885-1636
Phone Number
201-245-2793

License Information

License Number
F356395-01
License State
NY
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Bushra Mirza, FNP?

The NPI number of Bushra Mirza, FNP is 1649068495. It was assigned on April 30, 2025 and is currently active in the NPPES registry.

What is the specialty of Bushra Mirza, FNP?

Bushra Mirza, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F356395-01.

Where does Bushra Mirza, FNP practice?

The practice location is 4802 10TH Ave, Brooklyn, NY 11219-2916. The office can be reached at 718-283-3012 (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 1649068495 directly on the NPPES registry website.

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