Doctor Name: | MEHRNOUSH NAZMI |
NPI Number: | 1003068867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0010-01516 |
Business Practice Address: | 2500 Rocky Mountain Ave Suite 100 Loveland, CO - 805389004 |
Business Phone Number: | 9706241800 |
Business Fax Number: | |
Mailing Address: | 2500 Rocky Mountain Ave, Suite 100 LOVELAND |
State: | CO |
Postal Code: | 805389004 |
Phone Number: | 9706241800 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2008 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0010-01516 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |