MRS. COURTNEY NICOLE FAZEL (NPI# 1548732092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548732092 |
| Entity Type | Individual |
| Full Name | MRS. COURTNEY NICOLE FAZEL |
| Credential | NP |
| Practice Address |
104 Mohawk Street Brownsville KY 42210 |
| Mailing Address |
1425 Hiley Spencer Rd Scottsville KY 42164 |
| Practice Telephone | 2705972155 |
| Mailing Telephone | 2706180437 |
| Mailing Fax Number | 2705973811 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3012884 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
104 MOHAWK STREET |
| City | BROWNSVILLE |
| State | KY |
| Zip Code | 42210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912912734 | Glk Enterprises, LLC | Internal Medicine | 104 Mohawk Street, Brownsville, KY 42210 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000366 | Edmonson Dental | Clinic/Center | 1427 Ky 259n, Brownsville, KY 42210 | 2019-06-04 |
| 1639600455 | Lauren Walton | Social Worker | 205 Mohawk Street, Brownsville, KY 42210 | 2017-03-23 |
| 1962853713 | Hines Physical Therapy, LLC | Clinic/Center | 107 E Main Cross Street, Brownsville, KY 42210 | 2016-06-23 |
| 1043511736 | Darla Lynn Moody | Massage Therapist | 135 S. Main Street, Brownsville, KY 42210 | 2010-11-11 |
| 1720266851 | Sherry R Rudnick | Nurse Practitioner | 104 Mohawks St, Brownsville, KY 42210 | 2008-01-31 |
| 1831379700 | Meredith York | Case Manager/Care Coordinator | 205 Mohawk Dr., Brownsville, KY 42210 | 2007-11-08 |
| 1740460617 | Deborah Charlene White | Case Manager/Care Coordinator | 205 Mohawk St., Brownsville, KY 42210 | 2007-11-08 |
| 1649486283 | Myra S Ray | Pharmacist | 432 South Main, Brownsville, KY 42210 | 2007-05-14 |
| 1013043470 | Acsr, Inc. | Transportation Broker | 1430 Main St S, Brownsville, KY 42210 | 2007-02-27 |
| 1770621534 | Acsr, Inc. | Clinic/Center | 1430 S. Main St., Brownsville, KY 42210 | 2007-02-02 |
| Find all providers in zip 42210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807649 | Veronica B Garza | Nurse Practitioner | 4525 Lakeway Dr, Brownsville, TX 78520-9201 | 2020-10-06 |
| 1205441680 | Milton Reyes | Nurse Practitioner | 4200 Las Palmas Cir Apt 417, Brownsville, TX 78521-2875 | 2020-09-11 |
| 1508495243 | Olufunmilayo A Adeyemo | Nurse Practitioner | 4557 Osborne Ave, Brownsville, TX 78520-0048 | 2020-04-04 |
| 1255961520 | Miranda Caquias | Nurse Practitioner | 140 Acacia Lake Dr, Brownsville, TX 78521-4979 | 2020-01-24 |
| 1730740499 | Marivel Espinoza | Nurse Practitioner | 7087 Chestnut Oak Ln, Brownsville, TX 78526-3070 | 2019-06-24 |
| 1619433307 | Josie Dahlila Cervantes | Nurse Practitioner | 2288 Concord Pl, Brownsville, TX 78520-3982 | 2019-02-18 |
| 1376017301 | Rhonda K Munoz | Nurse Practitioner | 2686 W Alton Gloor Blvd Ste 1, Brownsville, TX 78520-4055 | 2019-01-12 |
| 1720563448 | Emede Tovar Jr. | Nurse Practitioner | 1303 Janet Ln, Brownsville, TX 78526-1259 | 2018-09-27 |
| 1902389307 | Griselda Escajeda | Nurse Practitioner | 4068 Trinity Trl, Brownsville, TX 78520-5077 | 2018-09-11 |
| 1518468057 | Anabelle Hernandez Rodriguez | Nurse Practitioner | 800 W Jefferson St Ste 200, Brownsville, TX 78520-6300 | 2018-02-21 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 42210 |
Please comment or provide details below to improve the information on MRS. COURTNEY NICOLE FAZEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.