Tania Faria
Individual provider Active NPI Critical Care Medicine Registered Nurse · Palm Coast, FL
NPI 1962098202 · NPPES record last updated Dec 20, 2020
Key facts
- NPI
- 1962098202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- RN9437027 (FL)
- Practice address
- 48 President LN
Palm Coast, FL 32164-4725 - Phone
- (540) 729-5268
- NPI assigned
- Dec 20, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9437027 | FL | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9437027 | FL | Yes |
Addresses
Primary practice location
48 President LN
Palm Coast, FL 32164-4725
Mailing address
48 President LN
Palm Coast, FL 32164-4725
Phone (540) 729-5268
Other providers in Palm Coast, FL
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- Family Medical Care of Palm Coast LLC
- Waleed Farahat
- Yasser Farahat
- Emily F Farmer
- Charles Edward Faulk
- Rebecca A Faunce
- Richard A Fay
- Rachel Febert
All providers in Palm Coast, FL · Critical Care Medicine Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2020. 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.