Akhtar Ghassemi, R.N.
Individual provider Active NPI Registered Nurse · Walworth, NY
NPI 1497945844 · NPPES record last updated Jul 31, 2007
Key facts
- NPI
- 1497945844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 526424 (NY)
- Practice address
- 1560 Winterberry CT
Walworth, NY 14568-9520 - Phone
- (315) 986-9614
- NPI assigned
- Jul 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 526424 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 526424 | NY | Yes |
Addresses
Primary practice location
1560 Winterberry CT
Walworth, NY 14568-9520
Mailing address
1560 Winterberry CT
Walworth, NY 14568-9520
Phone (315) 986-9614
Other providers in Walworth, NY
- Nicole Crosby
- Dr. John Anthony Guerrieri
- Stephanie Anne Drake
- Tina Fountaine
- Gananda Central School District
- John Anthony Guerrieri
- Laura Hall
- Kathryn J Hermann
- Jennifer R Hoffman
- Melissa Ann Ihrig
All providers in Walworth, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.