Individual
FARDUWSA HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 HEBRON PARK DR STE 101, HEBRON, KY 41048-9535
(404) 934-0150
Mailing address
2940 HEBRON PARK DR STE 101, HEBRON, KY 41048-9535
(404) 934-0150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016548
KY
Other
Enumeration date
08/19/2021
Last updated
01/23/2023
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