Most Relevant Information
Provider Data
| NPI Number: | 1003343146 |
| Provider Name: | ALIYA FIDAI |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | 873223 |
Most Important Dates
| Enumeration Date: | 05/19/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
3715 N BUSINESS DR STE 202
FAYETTEVILLE
AR
727035288
Practice Location Phone/Fax
| Phone: | 4795820778 |
| Fax: | 4795820778 |
Provider Mailing Location
3715 N BUSINESS DR STE 202
FAYETTEVILLE
AR
727035288
Provider Mailing Phone/Fax
| Phone: | 4795820778 |
| Fax: | 4795820778 |