Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 2153812 | FL |
NPI | 1003063900 |
---|---|
Provider Name | Ms. Barbara Hassanzadeh |
First Address | Atlanta, GA 30384-8054 |
Second Address | Miami, FL 33173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2008 |
Last Update Date | 09/02/2021 |