Healthcare Provider Details

I. General information

NPI: 1730833740
Provider Name (Legal Business Name): NEIF ALSHARIF MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2022
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MARKET ST STE 4A
WINONA MN
55987-5532
US

IV. Provider business mailing address

111 MARKET ST STE 4A
WINONA MN
55987-5532
US

V. Phone/Fax

Practice location:
  • Phone: 507-452-5033
  • Fax: 507-452-5183
Mailing address:
  • Phone: 507-452-5033
  • Fax: 507-452-5183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: