| Kanaan Khalil El-daher, | |
|
363 Highland Ave, Fall River, MA 02720-3703 | |
| (508) 973-7041 | |
| Not Available |
| Full Name | Kanaan Khalil El-daher |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 363 Highland Ave, Fall River, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497365530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 2282113 (Massachusetts) | Primary |
| Entity Name | First Physicians Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255493474 PECOS PAC ID: 0244518454 Enrollment ID: O20161022000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Kanaan Khalil El-daher, 15 Cold Spring St, Providence, RI 02906-5106 Ph: (305) 775-0053 | Kanaan Khalil El-daher, 363 Highland Ave, Fall River, MA 02720-3703 Ph: (508) 973-7041 |
Erin E Dacey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-5918 Fax: 508-973-5916 | |
Katherine E Serra, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 386 Stanley St, Fall River, MA 02720 Phone: 508-679-5222 Fax: 508-673-3182 | |
Matthew Paul Bock, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Stanley St, Fall River, MA 02720 Phone: 508-679-5222 Fax: 508-673-3182 | |
Alicia Larock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 | |
Jessica Lynn Shippee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-7109 Fax: 508-973-7149 | |
Maxine Dube, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Stanley St, Fall River, MA 02720 Phone: 508-675-1054 Fax: 508-324-7777 | |
Matthew Braga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-674-5600 |