Individual provider · NPI-1

Ibrahim Abdelhamid Alahmad, FNP-BC

Nurse Practitioner, Family · Springfield, MO

NPI number1467828202
StatusActive
Last updated in NPPESMar 21, 2025

Details

NPI
1467828202
Entity type
Individual (NPI-1)
Name
Ibrahim Abdelhamid Alahmad
Credential
FNP-BC
Sex
Male
Sole proprietor
No
Enumeration date
Aug 17, 2015
Certification date
Mar 21, 2025
Last updated
Mar 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2015019813MOYes

Practice location

633 E Portland St
Springfield, MO 65807-2072

Phone 000-000-0000

Mailing address

633 E Portland St
Springfield, MO 65807-2072

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