MRS. RODABEH HOMAYOON MIRIAN FNP NPI 1942489026

NPI Information

NPI: 1942489026
Provider Name: MRS. RODABEH HOMAYOON MIRIAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PROVIDENCE MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
44201 DEQUINDRE RD
BEAUMONT HOSPITAL TROY
TROY, MI
ZIP 48085
Phone: (248) 964-8912
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MRS. Rodabeh Homayoon Mirian, FNP is a family nurse practitioner in Troy, MI with 17 years of experience. MRS. Rodabeh Homayoon Mirian, FNP NPI is 1942489026. 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:

44201 DEQUINDRE RD
BEAUMONT HOSPITAL TROY
TROY, MI
ZIP 48085-117
Phone: (248) 964-8912

The NPI 1942489026 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 10/25/2007 and was last updated on 12/3/2021.

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	4704224314	MICHIGAN	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

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