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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. AZITA GHADERIFARD, FNP

Active Sole Proprietor

MS. AZITA GHADERIFARD, FNP is a Family Nurse Practitioner healthcare provider located in LAKE FOREST, California. NPI 1467753129 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LAKE FOREST, CA

Registration Details

NPI Number
1467753129
Provider Type
Individual
Gender
Female
NPI Issued
Nov 11, 2010 (15.76968201103 yrs)
Last Updated
Nov 4, 2013
Licenses
14410 (CA)
577516 (TX)
577516 (TX)
577516 (TX)
Sole Proprietor
Yes

Practice Information

Address
23101 LAKE CENTER DR
130
LAKE FOREST, CA, 926302801
Browse CA providers · Browse ZIP 92630
Phone
9497169021
Fax
9498616810
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Family Nurse Practitioner Providers in LAKE FOREST, CA

Name Credential NPI
JOHNNE LEONCIO NP-C 1578060786
LAUREN JILL BIRKINSHAW NP 1750859310
RACHEL SOLTANI 1164081006
PAULA ANN PARK FNP, MSN, BSN, RN 1801494398
SARA MICHELLE BRIZUELA FNP-C 1619614559
ARLENE CAGAMPANG DOMINGO FNP-BC 1811601313
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.