Individual
MOHAMAD MOUSSAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
9 CREST RD, SAINT ALBANS, VT 05478-9701
(802) 527-0753
(802) 524-2695
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
(802) 288-1140
(802) 288-1144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010092581
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021461
—
VT
Enumeration date
02/05/2013
Last updated
06/30/2023
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