Individual
MRS. SARAH MINOO AZAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2467
Mailing address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003600
AR
364SF0001X
Family Health Clinical Nurse Specialist
A003600
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196198758
—
AR
Enumeration date
11/26/2012
Last updated
02/25/2015
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