DR. MONA MYLENE BAHARESTANI PHD APN CWOCN CWS NPI 1306031729

NPI Information

NPI: 1306031729
Provider Name: DR. MONA MYLENE BAHARESTANI, PHD, APN, CWOCN, CWS
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
LAMONT AND SYDNEY ST
JOHNSON CITY, TN
ZIP 37684
Phone: (423) 926-1171
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DR. Mona Mylene Baharestani, PHD, APN, CWOCN, CWS is an adult health nurse practitioner in Johnson City, TN. DR. Mona Mylene Baharestani, PHD, APN, CWOCN, CWS NPI is 1306031729. 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:

LAMONT AND SYDNEY ST
JOHNSON CITY, TN
ZIP 37684
Phone: (423) 926-1171

The enumeration date for this NPI number is 9/10/2007 and was last updated on 5/1/2015.

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	163WC1600X	Registered Nurse	Continuing Education/Staff Development	1086300	TENNESSEE	No
2	163WE0900X	Registered Nurse	Enterostomal Therapy	1086300	TENNESSEE	No
3	163WW0000X	Registered Nurse	Wound Care	1086300	TENNESSEE	No
4	1744R1102X	Specialist	Research Study	F301205-1	NEW YORK	No
5	363L00000X	Nurse Practitioner		F301205-1	NEW YORK	No
6	364S00000X	Clinical Nurse Specialist		1086300	TENNESSEE	No
7	363LA2200X	Nurse Practitioner	Adult Health	F301205-1	NEW YORK	Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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