Individual provider · NPI-1

Heidi Ramazanzadeh Azari, ARNP

Nurse Practitioner, Family · Palm Coast, FL

NPI number1851908701
StatusActive
Last updated in NPPESFeb 21, 2025

Details

NPI
1851908701
Entity type
Individual (NPI-1)
Name
Ms. Heidi Ramazanzadeh Azari
Credential
ARNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 24, 2020
Certification date
Feb 21, 2025
Last updated
Feb 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11009204FLYes
207QH0002X Family Medicine, Hospice and Palliative MedicineAPRN11009204FL

Practice location

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980

Phone 386-586-4243

Mailing address

Po Box 935921
Atlanta, GA 31193-5921

Other practice locations

61 Memorial Medical Pkwy Ste 2812
Palm Coast, FL 32164-5999

Phone 386-586-1860 · Fax 386-586-1861

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