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Faisal Matar
Psychiatric/Mental Health Nurse Practitioner in Saint Louis, Missouri
NPI 1700423076

Faisal Matar is a Psychiatric/Mental Health Nurse Practitioner based in Saint Louis, MO and is specialized in Psychiatric/Mental Health. Faisal Matar practices in Saint Louis, MO. The NPI Number for Faisal Matar is 1700423076 and holds a License No. 2019042838 (Missouri).

The current practice location address for Faisal Matar is 12855 N 40 Dr, Saint Louis, MO and can be reached out via phone at 636-851-7262.

Location: 12855 N 40 Dr, Saint Louis, MO, 63141-8622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700423076
Provider Name
Faisal Matar
Credential
Provider Entity Type
Individual
Gender
Male
Address
12855 N 40 Dr, Saint Louis, MO, 63141-8622
Phone Number
636-851-7262
Fax Number
Provider Enumeration Date
12/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12855 N 40 Dr
City
Saint Louis
State
Missouri
Zip
63141-8622
Phone Number
636-851-7262
Fax Number
person
Provider Business Mailing Address Details
Address
12855 N 40 Dr
City
Saint Louis
State
Missouri
Zip
63141-8622
Phone Number
636-851-7262
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2019042838 (Missouri)
Definition
Definition to come...
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