Individual provider · Type 1 NPI

Fariahh Fazil, FNP-BC

Nurse Practitioner · Mount Vernon, IL

NPI number 1053954503 Active

Practice location

2 Good Samaritan Way Ste 235
Mount Vernon, IL 62864-2476

Mailing address

PO Box 955860
St. Louis, MO 63195-2551

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209019228 (IL)

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…

2 other providers at this address

Other nurse practitioner providers in Mount Vernon

See all in Mount Vernon →

About NPI 1053954503

Fariahh Fazil, FNP-BC's National Provider Identifier is 1053954503, issued on Oct 28, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Oct 19, 2020.