Healthcare Provider Details

I. General information

NPI: 1821869447
Provider Name (Legal Business Name): FARZANA NAWABI BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 S EASTERN AVE STE 300
LAS VEGAS NV
89119-0854
US

IV. Provider business mailing address

8118 WATAUGA AVE
LAS VEGAS NV
89147-3759
US

V. Phone/Fax

Practice location:
  • Phone: 702-463-0300
  • Fax:
Mailing address:
  • Phone: 702-630-7723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number831420
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number831420
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number831420
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number831420
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number831420
License Number StateNV
# 6
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number831420
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: