Provider Demographics
NPI:1497405492
Name:NAZARIAN, SHIRIN (FNP)
Entity Type:Individual
Prefix:MS
First Name:SHIRIN
Middle Name:
Last Name:NAZARIAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7629 DEVONSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2017
Mailing Address - Country:US
Mailing Address - Phone:775-870-2449
Mailing Address - Fax:
Practice Address - Street 1:7629 DEVONSHIRE LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2017
Practice Address - Country:US
Practice Address - Phone:775-870-2449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV852461363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner