Individual
HASSAN SAMIR BAYDOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
215 W 4TH ST, MISHAWAKA, IN 46544-1917
(574) 325-5961
Mailing address
215 W 4TH ST, MISHAWAKA, IN 46544-1917
(574) 325-5961
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71016664A
IN
Other
Enumeration date
03/10/2025
Last updated
05/28/2025
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