MEDICARE: MRS. FARHIYA MOHAMUD SHIRWA CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	COA.16301-NP	OH

General Provider Information

NPI Number	:	1942609243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FARHIYA MOHAMUD SHIRWA CNP

Provider Business Mailing Address
First Line	:	3539 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2909
Country	:	US
Telephone Number	:	614-826-7445
Fax Number	:	614-826-7446

Provider Business Practice Location Address
First Line	:	3539 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2909
Country	:	US
Telephone Number	:	614-826-7445
Fax Number	:	614-826-7446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2014
Last Update Date	:	12/22/2023

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