Provider Demographics
NPI:1104413046
Name:RAHMANI-NESHAT, PARANDIS (APRN)
Entity type:Individual
Prefix:MS
First Name:PARANDIS
Middle Name:
Last Name:RAHMANI-NESHAT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7928 EAST DR APT 1206
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-5683
Mailing Address - Country:US
Mailing Address - Phone:305-930-0140
Mailing Address - Fax:
Practice Address - Street 1:7928 EAST DR APT 1206
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-5683
Practice Address - Country:US
Practice Address - Phone:305-930-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008238363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily