FARZANEH MOH ENTEZARI APN NPI 1770177172

NPI Information

NPI: 1770177172
Provider Name: FARZANEH MOH ENTEZARI, APN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
414 PADDOCK DR W
SAVOY, IL
ZIP 61874
Phone: (217) 550-1777
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Farzaneh Moh Entezari, APN is a primary care nurse practitioner in Savoy, IL with 4 years of experience. Farzaneh Moh Entezari, APN NPI is 1770177172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

414 PADDOCK DR W
SAVOY, IL
ZIP 61874-620
Phone: (217) 550-1777

The NPI 1770177172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/25/2021 and was last updated on 2/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041.438415	ILLINOIS	No
2	363LP2300X	Nurse Practitioner	Primary Care	209.022654	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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