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Contact Information

SAIDA MOUOTASSIM ELIDRISSI
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE19718-2200
 Phone: 302-623-0188
 Fax: 302-733-5640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SAIDA MOUOTASSIM ELIDRISSI · (Female)

NPI # 1356230494
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2025
Last updated 10/01/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • DE License # L1-0067141
  • DE License # LP-0010864
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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