Provider Demographics
NPI:1417577800
Name:EL JAOUHARI, CHAHNAZ (NP)
Entity type:Individual
Prefix:
First Name:CHAHNAZ
Middle Name:
Last Name:EL JAOUHARI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-1868
Mailing Address - Country:US
Mailing Address - Phone:330-741-1530
Mailing Address - Fax:
Practice Address - Street 1:500 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-1868
Practice Address - Country:US
Practice Address - Phone:330-741-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-25
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH026460363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily