Provider Demographics
NPI:1417624214
Name:SAFI, RANNA FAWZI
Entity Type:Individual
Prefix:
First Name:RANNA
Middle Name:FAWZI
Last Name:SAFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 MERAMEC VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:MO
Mailing Address - Zip Code:63025-3709
Mailing Address - Country:US
Mailing Address - Phone:636-751-5126
Mailing Address - Fax:
Practice Address - Street 1:637 MERAMEC VIEW DR
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025-3709
Practice Address - Country:US
Practice Address - Phone:636-751-5126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019018486163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse