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NPI Verification

National Provider Identifier: 1538421094

Nina Kellie Lateefee Abul-Husn, Md, Msph

Individual Provider

Credentials

MD, MSPH

Primary Specialty

Family Medicine, Addiction Medicine

Code: 207QA0401X

All Specialties (4)

Family Medicine, Addiction Medicine

Code: 207QA0401X

General Practice

Code: 208D00000X

General Practice

Code: 208D00000X

Family Medicine, Addiction Medicine

Code: 207QA0401X

Primary

Practice Address

2785 BANNOCK HWY

POCATELLO, ID 832043607

Phone: 208-904-2654

NPI Enumeration Date

June 11, 2012

NPI Number

1538421094

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry