# DR. MONA MYLENE BAHARESTANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306031729
- **Gender:** F
- **Credential:** PHD, APN, CWOCN, CWS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | 1086300 | TN | — |
| 163WE0900X | Enterostomal Therapy Registered Nurse | 1086300 | TN | — |
| 163WW0000X | Wound Care Registered Nurse | 1086300 | TN | — |
| 1744R1102X | Research Study Specialist | F301205-1 | NY | — |
| 363L00000X | Nurse Practitioner | F301205-1 | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | F301205-1 | NY | Yes |
| 364S00000X | Clinical Nurse Specialist | 1086300 | TN | — |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 05/01/2015