Individual
FARHAT ALUCOZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 496-4636
Mailing address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 496-4636
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28250193A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015466A
IN
Other
Enumeration date
05/14/2019
Last updated
11/06/2024
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