Individual
NAOMI FAYZULAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15643 N 7TH DR, PHOENIX, AZ 85023-4472
(917) 776-4162
Mailing address
15643 N 7TH DR, PHOENIX, AZ 85023-4472
(917) 776-4162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
264234
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
09/18/2021
Last updated
09/18/2021
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