Individual
MARWAN M MOUGHRABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5000 ALPHA LN, HIXSON, TN 37343-4054
(423) 870-1662
(423) 877-4845
Mailing address
PO BOX 22696, CHATTANOOGA, TN 37422-2696
(423) 870-1662
(423) 877-4845
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000006183
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3901829
—
TN
01
—
4030309
BCBS-TN
TN
01
—
P00073120
RAILROAD MEDICARE
TN
Enumeration date
05/27/2006
Last updated
11/20/2012
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