Healthcare Provider Details

I. General information

NPI: 1669130019
Provider Name (Legal Business Name): MOHAMMED ARRASSI CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 S STATE ST STE 102
BROWNSTOWN PA
17508-5090
US

IV. Provider business mailing address

15 S STATE ST STE 102
BROWNSTOWN PA
17508-5090
US

V. Phone/Fax

Practice location:
  • Phone: 484-334-0275
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP024988
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: