Individual
MOHAMED HASSAN ABDELAZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-1401
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 731-8900
(920) 738-5369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14429
WI
363LF0000X
Family Nurse Practitioner
14429-33
WI
Other
Enumeration date
08/22/2023
Last updated
10/25/2023
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