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NPI Code Detail

MEDICARE: MRS. FARAH HASEEB SIDDIQI MSN, APRN, FNP-C

MEDICARE:  MRS. FARAH HASEEB SIDDIQI  MSN, APRN, FNP-C
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
1163W00000XRegistered Nurse822622TX
2363LF0000XFamily Nurse PractitionerAP128818TX

General Provider Information

NPI Number : 1619378494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FARAH HASEEB SIDDIQI MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 326 W HARWOOD RD
Second Line : APT A
City : HURST
State : TX
Zip : 76054-3095
Country : US
Telephone Number : 832-857-7450
Fax Number :
Provider Business Practice Location Address
First Line : 6401 PRECINCT LINE RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-4815
Country : US
Telephone Number : 817-485-8302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2014
Last Update Date : 02/25/2017

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