Provider Demographics
NPI:1548894264
Name:ALI, NOUREEN THARWANI (DNP, NP-C)
Entity type:Individual
Prefix:DR
First Name:NOUREEN
Middle Name:THARWANI
Last Name:ALI
Suffix:
Gender:F
Credentials:DNP, NP-C
Other - Prefix:
Other - First Name:NOUREEN
Other - Middle Name:
Other - Last Name:THARWANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:711 COSMOPOLITAN DR NE UNIT 302
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3621
Mailing Address - Country:US
Mailing Address - Phone:678-559-6840
Mailing Address - Fax:
Practice Address - Street 1:711 COSMOPOLITAN DR NE UNIT 302
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3621
Practice Address - Country:US
Practice Address - Phone:678-559-6840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN242206163WE0003X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency