Provider Demographics
NPI:1790557288
Name:SALMAN, NOFAL (FNP-C)
Entity Type:Individual
Prefix:
First Name:NOFAL
Middle Name:
Last Name:SALMAN
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 E HATTENDORF AVE APT 410
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-1570
Mailing Address - Country:US
Mailing Address - Phone:224-202-1579
Mailing Address - Fax:
Practice Address - Street 1:57 E HATTENDORF AVE APT 410
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-1570
Practice Address - Country:US
Practice Address - Phone:224-202-1579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.028590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily