Healthcare Provider Details

I. General information

NPI: 1235667965
Provider Name (Legal Business Name): FARAH F CARDOSI DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2017
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 WOLF RIVER BLVD STE 103
GERMANTOWN TN
38138-1779
US

IV. Provider business mailing address

1211 UNION AVE STE 330
MEMPHIS TN
38104-6655
US

V. Phone/Fax

Practice location:
  • Phone: 901-761-9097
  • Fax: 901-682-7635
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22829
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: