NPI 1780421016 · live from the CMS NPI Registry
Ailaf Tesfaye Darfoor, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Clarkston, GA. National Provider Identifier 1780421016, active.
NPI record
| NPI | 1780421016 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 953 Montreal Rd, Clarkston, GA 30021 |
| Practice phone | 425-648-1998 |
| Enumerated | July 12, 2024 |
| Last updated | August 12, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | RN24283 (GA) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | APRN-NP242831 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.