Provider Demographics
NPI:1841774775
Name:OSMANI, FARAH (NP)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:OSMANI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36074 PIZARRO DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-5419
Mailing Address - Country:US
Mailing Address - Phone:617-816-5908
Mailing Address - Fax:
Practice Address - Street 1:36074 PIZARRO DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-5419
Practice Address - Country:US
Practice Address - Phone:617-816-5908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010053363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner