Individual
TAREQ MOHAMMED FALEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NNP-BC
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-5437
Mailing address
4809 NORTHWIND DR, CHATTANOOGA, TN 37416-1424
(423) 619-4516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12191572
TN
363LN0000X
Neonatal Nurse Practitioner
Primary
104138162
TN
Other
Enumeration date
11/28/2021
Last updated
10/26/2023
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