Azami, Sarah Minoo

Azami, Sarah Minoo is an individual health care provider with primary practice located at 101 Skyline Dr , Russellville AR 72801-3363. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Azami, Sarah Minoo can be contacted via phone (479) 968-2345.

Contact Information

Primary practice address
101 Skyline Dr Russellville AR 72801-3363
Phone: (479) 968-2345
Fax: (479) 890-2467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A003600 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X A003600 Arkansas

Profile Details

NPI number 1992049241
LBN Legal business name Azami, Sarah Minoo
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2012
Last updated Feb 25th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992049241 NPPES
Arkansas MEDICAID 196198758

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