Individual
MR. HASAN Y MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
300 AUSTIN WEST BLVD, MIAMISBURG, OH 45342-7519
(937) 388-7959
Mailing address
6993 S UNION RD, MIAMISBURG, OH 45342-1648
(513) 515-9807
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN.405767
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027025
OH
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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