Individual
MS. HAFEEZAH SAFIYYAH SALAAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
833 CHESTNUT ST, SUITE 301, PHILADELPHIA, PA 19107-4414
(215) 955-7190
Mailing address
833 CHESTNUT ST, SUITE 301, PHILADELPHIA, PA 19107-4414
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP015906
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103272571
—
PA
Enumeration date
01/27/2016
Last updated
09/21/2018
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