Individual
YASSIN ISMAT GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP
Contact information
Practice address
29055 CLEMENS RD STE A, WESTLAKE, OH 44145-1135
(216) 450-1613
(216) 450-1614
Mailing address
29055 CLEMENS RD STE A, WESTLAKE, OH 44145-1135
(216) 450-1613
(216) 450-1614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.424034
OH
363L00000X
Nurse Practitioner
APRN.CNP.0027191
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0027191
OH
Other
Enumeration date
08/19/2020
Last updated
09/03/2020
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