Individual
ANIKA FAROUQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2825 EAST BARNETT RD, MEDFORD, OR 97504-8332
(817) 983-9901
Mailing address
P.O BOX 4749, MEDFORD, OR 97501-0227
(541) 789-7000
(541) 789-5393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201702146NP
OR
363LF0000X
Family Nurse Practitioner
AP132606
TX
Other
Enumeration date
01/28/2017
Last updated
12/03/2020
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