NPI 1366218356 · live from the CMS NPI Registry
Ahlam Bawazer
Nurse Practitioner, Family in Smyrna, DE. National Provider Identifier 1366218356, active.
NPI record
| NPI | 1366218356 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 100 S Main St Ste 207, Smyrna, DE 19977 |
| Practice phone | 302-659-4490 |
| Enumerated | November 30, 2023 |
| Last updated | November 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | L1-0054348 (DE) |
| Nurse Practitioner, Family primary | 363LF0000X | LG-0012413 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.