Individual
DR. MONA MYLENE BAHARESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APN, CWOCN, CWS
Contact information
Practice address
LAMONT AND SYDNEY ST, JOHNSON CITY, TN 37684
(423) 926-1171
Mailing address
LAMONT AND SYDNEY ST, JOHNSON CITY, TN 37684
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
F301205-1
NY
364S00000X
Clinical Nurse Specialist
1086300
TN
Other
Enumeration date
09/10/2007
Last updated
05/01/2015
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