Fariahh Fazil, FNP-BC
NPI #1053954503 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1053954503
- Entity Type
- Individual
- Name
- Fariahh Fazil, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-BC
- Enumeration Date
- Oct 28, 2019
- Last Updated
- Oct 19, 2020
Practice Location
- Address
- 2 GOOD SAMARITAN WAY STE 235
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2476
- Phone
- (618) 899-3980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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