Provider Demographics
NPI:1689259103
Name:HADRAOUI, AMAL
Entity Type:Individual
Prefix:
First Name:AMAL
Middle Name:
Last Name:HADRAOUI
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 1:1255 GRENOBLE RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1213
Mailing Address - Country:US
Mailing Address - Phone:215-485-8399
Mailing Address - Fax:
Practice Address - Street 1:1255 GRENOBLE RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-1213
Practice Address - Country:US
Practice Address - Phone:215-485-8399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
55383601376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker