Individual provider · Type 1 NPI
Ibrahim T. Beidari, CRNP
Family Nurse Practitioner · Harrisburg, PA
NPI number
1740636596
Active
Practice location
111 S Front St
Harrisburg, PA 17101-2010
Fax (717) 782-5716
Mailing address
409 S 2nd St Ste 2F
Harrisburg, PA 17104-1612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP016119 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740636596
Ibrahim T. Beidari, CRNP's National Provider Identifier is 1740636596, issued on May 11, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Harrisburg, PA. The record was last updated on Jan 23, 2018.