MEDICARE: NAHID REZAEE-ANZABI ANP

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	363LA2200X	Adult Health Nurse Practitioner	AP125548	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215344924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAHID REZAEE-ANZABI ANP

Provider Business Mailing Address
First Line	:	4375 BOOTH CALLOWAY RD STE 400
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8365
Country	:	US
Telephone Number	:	817-284-3915
Fax Number	:	844-292-1464

Provider Business Practice Location Address
First Line	:	4375 BOOTH CALLOWAY RD STE 400
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8365
Country	:	US
Telephone Number	:	817-284-3915
Fax Number	:	844-292-1464

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

Provider Enumeration Date	:	07/14/2014
Last Update Date	:	07/22/2022

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