Individual
MUSTAFA MUKATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
415 MORRIS ST STE 300, CHARLESTON, WV 25301-1853
(304) 388-6441
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
(304) 388-0053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
121343
WV
363LF0000X
Family Nurse Practitioner
RN282618
GA
Other
Enumeration date
02/08/2019
Last updated
10/08/2025
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