IndividualActive
Alante Ghannam, FNP
NPI 1083153787 · Family Nurse Practitioner · Saint Charles, MO
Provider details
- NPI number
- 1083153787
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2017000787 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1475 Kisker Rd Ste 200
Saint Charles, MO 63304-8788
Phone: (636) 695-0325
Fax: (636) 695-0326
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 23340
Saint Louis, MO 63156-3340
Additional practice locations (1)
- 1027 Bellevue AveSte 107Saint Louis, MO 63117-1851Phone: (314) 645-3743Fax: (314) 647-7967
Registry dates
- Enumerated
- 2017-02-15
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.