Provider Demographics
NPI:1982403077
Name:NISAR, FARZANA
Entity type:Individual
Prefix:MS
First Name:FARZANA
Middle Name:
Last Name:NISAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DUBB DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-6830
Mailing Address - Country:US
Mailing Address - Phone:302-509-1813
Mailing Address - Fax:
Practice Address - Street 1:6 DUBB DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-6830
Practice Address - Country:US
Practice Address - Phone:302-509-1813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator