Provider Demographics
NPI:1891526927
Name:TRASANDES, FARNAZ (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:FARNAZ
Middle Name:
Last Name:TRASANDES
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 N 2ND ST # 281
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-5806
Mailing Address - Country:US
Mailing Address - Phone:619-663-9823
Mailing Address - Fax:
Practice Address - Street 1:864 N 2ND ST # 281
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-5806
Practice Address - Country:US
Practice Address - Phone:619-663-9823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95031276363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty