person
Ms. Tara Azizi, NP-C
Gerontology Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1548711930

Tara Azizi is a Gerontology Nurse Practitioner based in Philadelphia, PA and is specialized in Gerontology. Tara Azizi practices in Philadelphia, PA and has the professional credentials of NP-C. The NPI Number for Tara Azizi is 1548711930 and holds a License No. SP016925 (Pennsylvania).

The current practice location address for Tara Azizi is 3701 Market St Fl 6, Philadelphia, PA and can be reached out via phone at 215-662-2250 and via fax at 215-615-3995.

Location: 3701 Market St Fl 6, Philadelphia, PA, 19104-5508
person
Provider Profile Details
NPI Number
1548711930
Provider Name
Tara Azizi
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
3701 Market St Fl 6, Philadelphia, PA, 19104-5508
Phone Number
215-662-2250
Fax Number
215-615-3995
Provider Enumeration Date
10/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3701 Market St Fl 6
City
State
Zip
19104-5508
Phone Number
215-662-2250
Fax Number
215-615-3995
person
Provider Business Mailing Address Details
Address
3701 Market St Fl 6
City
State
Zip
19104-5508
Phone Number
215-662-2250
Fax Number
215-615-3995
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
SP016925 (Pennsylvania)
Definition
Definition to come...
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