MEDICARE: FARAH F CARDOSI DNP

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	22829	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6115070	OTHER	TN	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235667965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAH F CARDOSI DNP

Provider Business Mailing Address
First Line	:	1211 UNION AVE STE 330
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-6655
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7550 WOLF RIVER BLVD STE 103
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1779
Country	:	US
Telephone Number	:	901-761-9097
Fax Number	:	901-682-7635

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

Provider Enumeration Date	:	05/25/2017
Last Update Date	:	05/20/2025

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