SHAWN-AMY RAE BAZARGAN-LARI REGISTERED NURSE NPI 1003376898

NPI Information

NPI: 1003376898
Provider Name: SHAWN-AMY RAE BAZARGAN-LARI, REGISTERED NURSE
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
475 WATERVLIET SHAKER RD
LATHAM, NY
ZIP 12110
Phone: (518) 785-1341
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Shawn-amy Rae Bazargan-lari, REGISTERED NURSE is a school registered nurse in Latham, NY. Shawn-amy Rae Bazargan-lari, REGISTERED NURSE NPI is 1003376898. 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:

475 WATERVLIET SHAKER RD
LATHAM, NY
ZIP 12110-622
Phone: (518) 785-1341

The enumeration date for this NPI number is 3/20/2019 and was last updated on 3/20/2019.

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	163WS0200X	Registered Nurse	School	511807	NEW YORK	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	03052893	MEDICAID	NEW YORK

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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