Individual provider · Type 1 NPI

Alante Q. Ghannam, FNP

Family Nurse Practitioner · St. Charles, MO

NPI number 1083153787 Active

Practice location

1475 Kisker Rd Ste 200
St. Charles, MO 63304-8788

Fax (636) 695-0326

Mailing address

PO Box 23340
St. Louis, MO 63156-3340

Other practice locations

  • 1027 Bellevue Ave, Ste 107, St. Louis, MO 63117-1851 · (314) 645-3743

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2017000787 (MO)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1083153787

Alante Q. Ghannam, FNP's National Provider Identifier is 1083153787, issued on Feb 15, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Charles, MO. The record was last updated on Jan 23, 2025.