Provider Demographics
NPI:1144931379
Name:QARINI, HAVEEN SAMED (RN, BSN, FNP-C)
Entity type:Individual
Prefix:
First Name:HAVEEN
Middle Name:SAMED
Last Name:QARINI
Suffix:
Gender:F
Credentials:RN, BSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29762 N 69TH LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-3188
Mailing Address - Country:US
Mailing Address - Phone:913-216-7503
Mailing Address - Fax:
Practice Address - Street 1:3515 W UNION HILLS DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-2429
Practice Address - Country:US
Practice Address - Phone:623-328-8630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ222259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily