Individual
REZVANEH GOODARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5450 KNOLL NORTH DR STE 250, COLUMBIA, MD 21045-2368
(410) 964-6115
(410) 964-5315
Mailing address
5450 KNOLL NORTH DR STE 260, COLUMBIA, MD 21045-2394
(410) 964-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09201007
MD
Other
Enumeration date
10/03/2020
Last updated
03/21/2023
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