Individual provider · Type 1 NPI
Azita Foroutani, NP
Pediatric Nurse Practitioner · Antioch, CA
NPI number
1265265482
Active
Practice location
3700 Sunset Ln Ste 4
Antioch, CA 94509-6123
Fax (925) 754-7290
Mailing address
2930 Concord Blvd
Concord, CA 94519-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95029071 (CA) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Antioch
About NPI 1265265482
Azita Foroutani, NP's National Provider Identifier is 1265265482, issued on Aug 22, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Antioch, CA. The record was last updated on Aug 22, 2024.