MS. Azita Ghaderifard, FNP
NPI #1467753129 in Lake Forest, California
Provider Information
- NPI Number
- 1467753129
- Entity Type
- Individual
- Name
- MS. Azita Ghaderifard, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Nov 11, 2010
- Last Updated
- Nov 4, 2013
Practice Location
- Address
- 23101 LAKE CENTER DR
- Address 2
- 130
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-2801
- Phone
- (949) 716-9021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner |
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