Individual provider · Type 1 NPI
Tessa Yeganeh Shivazad, APRN
Nurse Practitioner · Coconut Creek, FL
Practice location
4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414
Fax (954) 783-6845
Mailing address
7219 Primrose Ln
Tamarac, FL 33321-5341
Other practice locations
- 7219 Primrose Ln, Tamarac, FL 33321-5341 · (954) 670-4640
- 5258 Linton Blvd Ste 203, Delray Beach, FL 33484-6529 · (954) 943-1133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11044647 (FL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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Other nurse practitioner providers in Coconut Creek
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- Chasidy CampbellNurse Practitioner Coconut Creek, FL NPI 1689355562
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- Astride Desario, APRNNurse Practitioner Coconut Creek, FL NPI 1730009101
- Marie Paulina Thermidor, APRNNurse Practitioner Coconut Creek, FL NPI 1811469901
About NPI 1003776832
Tessa Yeganeh Shivazad, APRN's National Provider Identifier is 1003776832, issued on Nov 14, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coconut Creek, FL. The record was last updated on Nov 1, 2026.