Individual provider · Type 1 NPI

Azadeh Khosravi, NURSE PRACTITIONER

Family Nurse Practitioner · Beachwood, OH

NPI number 1245605658 Active

Practice location

3999 Richmond Rd
Beachwood, OH 44122-6046

Mailing address

5590 Janet Blvd
Solon, OH 44139-1961

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X18069.NP (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1245605658

Azadeh Khosravi, NURSE PRACTITIONER's National Provider Identifier is 1245605658, issued on Dec 10, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beachwood, OH. The record was last updated on Dec 10, 2015.