Individual
ALANTE Q GHANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1475 KISKER RD STE 200, SAINT CHARLES, MO 63304-8788
(636) 695-0325
(636) 695-0326
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 645-3743
(314) 647-7967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017000787
MO
Other
Enumeration date
02/15/2017
Last updated
01/23/2025
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