Provider Demographics
NPI:1053921981
Name:MCLENDON, MUSLIMAH A
Entity type:Individual
Prefix:
First Name:MUSLIMAH
Middle Name:A
Last Name:MCLENDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MUSLIMAH
Other - Middle Name:A
Other - Last Name:MCLENDON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:12 N BROADWAY APT 2B
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-7064
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12 N BROADWAY APT 2B
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7064
Practice Address - Country:US
Practice Address - Phone:908-884-7683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY771240-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse