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NPI Code Detail

MEDICARE: EMILY NIKFAR

MEDICARE:   EMILY  NIKFAR
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
1104100000XSocial WorkerDP00947331WV

General Provider Information

NPI Number : 1801520408
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY NIKFAR
Provider Business Mailing Address
First Line : 1005 WHITE WILLOW WAY
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-6119
Country : US
Telephone Number : 304-513-3495
Fax Number : 800-734-8498
Provider Business Practice Location Address
First Line : 400 FOXCROFT AVE STE 101
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-5302
Country : US
Telephone Number : 304-513-3495
Fax Number : 800-734-8498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 03/31/2026

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Directions to “ EMILY NIKFAR ” Practice Location

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