Provider Demographics
NPI:1902248859
Name:KARIMPOUR, FARNOUSH (FNP-BC)
Entity Type:Individual
Prefix:
First Name:FARNOUSH
Middle Name:
Last Name:KARIMPOUR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:FARNOUSH
Other - Middle Name:
Other - Last Name:KARIMPOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:4822 W MODOC CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-9385
Mailing Address - Country:US
Mailing Address - Phone:423-297-2097
Mailing Address - Fax:
Practice Address - Street 1:2611 N DINUBA BLVD
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-9003
Practice Address - Country:US
Practice Address - Phone:559-623-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-20
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23061164W00000X
CA819367163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No163W00000XNursing Service ProvidersRegistered Nurse