SHADI USEFI-MORIDANI APN NPI 1104920206

NPI Information

NPI: 1104920206
Provider Name: SHADI USEFI-MORIDANI, APN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1905 CIVIC CENTER DR.
NO. LAS VEGAS, NV
ZIP 89030
Phone: (702) 649-3736
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Shadi Usefi-moridani, APN is a pediatrics nurse practitioner in No. Las Vegas, NV. Shadi Usefi-moridani, APN NPI is 1104920206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1905 CIVIC CENTER DR.
NO. LAS VEGAS, NV
ZIP 89030
Phone: (702) 649-3736
Fax: (702) 312-3510

The enumeration date for this NPI number is 9/11/2006 and was last updated on 5/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		RN55045	NEVADA	No
2	363L00000X	Nurse Practitioner		APN000973	NEVADA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	APN000973	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1104920206	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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