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Search › Wisconsin › 343900000X

Fardowsa Ibrahim

NPI 1952161929 · on the registry since 2024 · sole proprietor

Practice

Address
700 Ray O Vac Dr Ste 2
Madison, WI 53711
Phone
(608) 512-5569
Organisation at this address
Carenest Llc
Thompson Dr Llc
Compose Care Llc
Northstar Partnership
Northstar Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
343900000X
343900000X
Also registered as
343900000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin