REZVANEH GOODARZI CRNP NPI 1316544315

NPI Information

NPI: 1316544315
Provider Name: REZVANEH GOODARZI, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5450 KNOLL NORTH DR STE 250
COLUMBIA, MD
ZIP 21045
Phone: (410) 964-6115
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Rezvaneh Goodarzi, CRNP is a family nurse practitioner in Columbia, MD with 4 years of experience. Rezvaneh Goodarzi, CRNP NPI is 1316544315. 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:

5450 KNOLL NORTH DR STE 250
COLUMBIA, MD
ZIP 21045-368
Phone: (410) 964-6115
Fax: (410) 964-5315

The NPI 1316544315 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2020 and was last updated on 3/21/2023.

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	363LF0000X	Nurse Practitioner	Family	F09201007	MARYLAND	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: 5/5/2024

NPI Synchronization or Removal

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