Shadi Usefi-moridani, APN is a
Nurse Practitioner - Pediatrics based in No. Las Vegas, Nevada. Shadi Usefi-moridani is licensed to practice in Nevada (license number APN000973) and her current practice location is
1905 Civic Center Dr., No. Las Vegas, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 649-3736.
NPI number for Shadi Usefi-moridani is 1104920206 and her current mailing address is 5701 W. Charleston Blvd., Suite 100, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104920206.
Provider's Profile
| Full Name | Shadi Usefi-moridani |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 1905 Civic Center Dr., No. Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104920206
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 05/11/2022
Medical Identifiers
Medical identifiers for Shadi Usefi-moridani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104920206 | NPI | - | NPPES |
| 1104920206 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | RN55045 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | APN000973 (Nevada) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APN000973 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shadi Usefi-moridani is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shadi Usefi-moridani, APN
5701 W. Charleston Blvd., Suite 100,
Las Vegas, NV 89146
Ph: (702) 877-9514 | Shadi Usefi-moridani, APN
1905 Civic Center Dr.,
No. Las Vegas, NV 89030
Ph: (702) 649-3736 |
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