National Provider Identifier
Farida L Mukhtasimova, FNP-BC
Farida L Mukhtasimova, FNP-BC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 568-3600.
Profile Overview
- NPI
- 1275339962
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 22, 2025
- Last Updated
- February 22, 2025
Practice Location
- 1540 Maple RD
- Buffalo, NY 14221-3647
Phone: (716) 568-3600
Mailing Address
- 3825 Wildwing Dr
- North Tonawanda, NY 14120-1383
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1275339962
- Entity Type
- Individual
- Last Name
- Mukhtasimova
- First Name
- Farida
- Middle Name
- L
- Credential
- FNP-BC
- Mailing Street Address
- 3825 Wildwing Dr
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-1383
- Mailing Country
- US
- Mailing Phone
- (716) 533-3249
- Practice Street Address
- 1540 Maple RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14221-3647
- Practice Country
- US
- Practice Phone
- (716) 568-3600
- Enumeration Date
- February 22, 2025
- Last Updated
- February 22, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 22, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)