Individual provider · NPI-1
Ahlam Bawazer
Nurse Practitioner, Family · Smyrna, DE
NPI number1366218356
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1366218356
- Entity type
- Individual (NPI-1)
- Name
- Ahlam Bawazer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2023
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | LG-0012413 | DE | Yes |
| 163W00000X | Registered Nurse | L1-0054348 | DE |
Practice location
100 S Main St Ste 207Smyrna, DE 19977-1479
Phone 302-659-4490 · Fax 302-659-4495
Mailing address
100 S Main St Ste 207Smyrna, DE 19977-1479
Phone 302-659-4490 · Fax 302-659-4495
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