Individual
MR. HASAN SALEH EL-FAHMAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4750
Mailing address
PO BOX 772866, CHICAGO, IL 60677-0166
(314) 364-4200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2018038262
MO
363LA2100X
Acute Care Nurse Practitioner
NP95015786
CA
Other
Enumeration date
10/19/2018
Last updated
11/16/2023
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