Provider Demographics
NPI:1679251953
Name:OMAIR, BUSHRA
Entity type:Individual
Prefix:
First Name:BUSHRA
Middle Name:
Last Name:OMAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BUSHRA
Other - Middle Name:
Other - Last Name:HABIB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 DROMOLAND RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9226
Mailing Address - Country:US
Mailing Address - Phone:919-519-9583
Mailing Address - Fax:
Practice Address - Street 1:111 DROMOLAND RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-9226
Practice Address - Country:US
Practice Address - Phone:919-519-9583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCOMAI-EM8FD363LA2200X, 363LC1500X, 363LP2300X, 363LX0106X, 363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner