Mariam Mustapha, RN is a
Nurse Anesthetist, Certified Registered based in Loganville, Georgia. Mariam Mustapha is licensed to practice in Georgia (license number RN275428) and her current practice location is
624 Henson Farm Dr, Loganville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 709-9828.
NPI number for Mariam Mustapha is 1376221739 and her current mailing address is 624 Henson Farm Dr, Loganville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376221739.
Provider's Profile
Full Name | Mariam Mustapha |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 624 Henson Farm Dr, Loganville, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376221739
- Provider Enumeration Date: 07/06/2023
- Last Update Date: 02/10/2025
Medical Identifiers
Medical identifiers for Mariam Mustapha such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376221739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | RN275428 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mariam Mustapha is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mariam Mustapha, RN 624 Henson Farm Dr, Loganville, GA 30052-6528 Ph: (678) 709-9828 | Mariam Mustapha, RN 624 Henson Farm Dr, Loganville, GA 30052-6528 Ph: (678) 709-9828 |
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