person
Azita Banandargah
Family Nurse Practitioner in Madera, California
NPI 1205549789

Azita Banandargah is a Family Nurse Practitioner based in Madera, CA and is specialized in Family. Azita Banandargah practices in Madera, CA. The NPI Number for Azita Banandargah is 1205549789 and holds a License No. NP95023261 (California).

The current practice location address for Azita Banandargah is 1003 Ridgeline Rd W, Madera, CA and can be reached out via phone at 310-717-0039.

Location: 1003 Ridgeline Rd W, Madera, CA, 93636-8152
person
Provider Profile Details
NPI Number
1205549789
Provider Name
Azita Banandargah
Credential
Provider Entity Type
Individual
Gender
Female
Address
1003 Ridgeline Rd W, Madera, CA, 93636-8152
Phone Number
310-717-0039
Fax Number
Provider Enumeration Date
12/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1003 Ridgeline Rd W
City
State
Zip
93636-8152
Phone Number
310-717-0039
Fax Number
person
Provider Business Mailing Address Details
Address
1003 Ridgeline Rd W
City
State
Zip
93636-8152
Phone Number
310-717-0039
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP95023261 (California)
Definition
Definition to come...
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