Individual provider · Type 1 NPI
Farzaneh Raoufi, FNP
Primary Care Nurse Practitioner · San Mateo, CA
NPI number
1710106737
Active
Practice location
19 West 39th Street
San Mateo, CA 94403-4549
Mailing address
19 W 39th Ave
San Mateo, CA 94403-4593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | NP13945 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1710106737
Farzaneh Raoufi, FNP's National Provider Identifier is 1710106737, issued on Apr 25, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in San Mateo, CA. The record was last updated on Aug 21, 2014.