Individual provider · Type 1 NPI
Shafaa Eldesouky Jr.
Family Nurse Practitioner · Fremont, CA
NPI number
1033844246
Active
Practice location
3165 Hancock Pl
Fremont, CA 94538-3531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95007164 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1033844246
Shafaa Eldesouky Jr.'s National Provider Identifier is 1033844246, issued on Jul 21, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fremont, CA. The record was last updated on Jul 21, 2022.