Provider Demographics
NPI:1043016215
Name:HAJITALIB, AMINA AHMED
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:AHMED
Last Name:HAJITALIB
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 G ST APT 7
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2845
Mailing Address - Country:US
Mailing Address - Phone:402-804-9811
Mailing Address - Fax:
Practice Address - Street 1:1940 DUDLEY ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-1633
Practice Address - Country:US
Practice Address - Phone:618-601-9459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No372600000XNursing Service Related ProvidersAdult Companion