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Individual

FIROUZEH KASAIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
2301 N MLK BLVD, CLOVIS, NM 88101-9401
(575) 762-4455
(575) 762-8411
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP00697
NM
364SF0001X
Family Health Clinical Nurse Specialist
R33747
NM

Other

Enumeration date
02/12/2009
Last updated
05/10/2018
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