Provider Demographics
NPI:1174034672
Name:NAZPARVAR, LEILA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LEILA
Middle Name:
Last Name:NAZPARVAR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:LEILA
Other - Middle Name:
Other - Last Name:NAKHAEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:4790 CAUGHLIN PKWY # 233
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-0907
Mailing Address - Country:US
Mailing Address - Phone:775-229-2289
Mailing Address - Fax:844-965-9017
Practice Address - Street 1:5578 LONGLEY LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1825
Practice Address - Country:US
Practice Address - Phone:775-284-8650
Practice Address - Fax:775-284-8654
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant