MRS. MONA IZADI FNP-BC NPI 1568700334

NPI Information

NPI: 1568700334
Provider Name: MRS. MONA IZADI, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
10152 BLUE RIDGE DR
BLUE RIDGE, GA
ZIP 30513
Phone: (706) 946-3621
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MRS. Mona Izadi, FNP-BC is a family nurse practitioner in Blue Ridge, GA. MRS. Mona Izadi, FNP-BC NPI is 1568700334. 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:

10152 BLUE RIDGE DR
BLUE RIDGE, GA
ZIP 30513-935
Phone: (706) 946-3621
Fax: (706) 946-3622

The NPI 1568700334 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2013 and was last updated on 4/21/2015.

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	363LF0000X	Nurse Practitioner	Family	RN079353	GEORGIA	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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