Provider Demographics
NPI:1356788186
Name:ABBASI, FIROOZEH FAITH (RN)
Entity type:Individual
Prefix:
First Name:FIROOZEH
Middle Name:FAITH
Last Name:ABBASI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7751 W VOLTAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4144
Mailing Address - Country:US
Mailing Address - Phone:623-486-5775
Mailing Address - Fax:
Practice Address - Street 1:7751 W VOLTAIRE AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4144
Practice Address - Country:US
Practice Address - Phone:623-486-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN137643163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse