Provider Demographics
NPI:1699534586
Name:ABUELIAN, GHASSAN IBRAHIM (PMHNP)
Entity type:Individual
Prefix:
First Name:GHASSAN
Middle Name:IBRAHIM
Last Name:ABUELIAN
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 N SCOTTSDALE RD STE A199
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-3593
Mailing Address - Country:US
Mailing Address - Phone:702-805-5360
Mailing Address - Fax:702-977-7488
Practice Address - Street 1:7373 N SCOTTSDALE RD STE A199
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3593
Practice Address - Country:US
Practice Address - Phone:702-805-5360
Practice Address - Fax:702-977-7488
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0036368363LP0808X
OR10023455363LP0808X
AZ242328363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health