NPI 1851908701 · live from the CMS NPI Registry
Heidi Ramazanzadeh Azari, ARNP
Nurse Practitioner, Family in Palm Coast, FL. National Provider Identifier 1851908701, active.
NPI record
| NPI | 1851908701 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 60 Memorial Medical Pkwy, Palm Coast, FL 32164 |
| Practice phone | 386-586-4243 |
| Mailing address | Po Box 935921, Atlanta, GA 31193 |
| Enumerated | September 24, 2020 |
| Last updated | February 21, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | APRN11009204 (FL) |
| Nurse Practitioner, Family primary | 363LF0000X | APRN11009204 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.