Provider Demographics
NPI:1346917655
Name:TAABODI-WILKOFF, SETARE (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SETARE
Middle Name:
Last Name:TAABODI-WILKOFF
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:SETARE
Other - Middle Name:
Other - Last Name:TAABODI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5150 MAE ANNE AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1859
Mailing Address - Country:US
Mailing Address - Phone:775-442-4075
Mailing Address - Fax:
Practice Address - Street 1:5150 MAE ANNE AVE STE 405
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1859
Practice Address - Country:US
Practice Address - Phone:775-442-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV842496363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily