DR. MONA MYLENE BAHARESTANI PHD, APN, CWOCN, CWS
NPI 1306031729
Nurse Practitioner - Adult Health in Johnson City, TN
Active since September 10, 2007
About Dr. Mona Mylene Baharestani Phd, Apn, Cwocn, Cws NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MONA MYLENE BAHARESTANI PHD, APN, CWOCN, CWS (NPI 1306031729) is an individual adult health provider in Johnson City, Tennessee, licensed in New York (F301205-1) and active in the NPI registry since September 2007.
NPPES Registry Identity
NPI1306031729
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. MONA MYLENE BAHARESTANICredential: PHD, APN, CWOCN, CWS
Location AddressLAMONT AND SYDNEY STJohnson City, TN 37684
Mailing AddressLamont And Sydney StJohnson City, TN 37684 · (423) 926-1171
Phone(423) 926-1171
Sole ProprietorNo
Enumeration DateSeptember 10, 2007
Last NPPES UpdateMay 1, 2015
✔ NPI 1306031729 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 7
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F301205-1
Also ListedRegistered Nurse · Continuing Education/Staff DevelopmentTaxonomy 163WC1600X · License 1086300 (TN)
Also ListedRegistered Nurse · Enterostomal TherapyTaxonomy 163WE0900X · License 1086300 (TN)
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 1086300 (TN)
Also ListedSpecialist · Research StudyTaxonomy 1744R1102X · License F301205-1 (NY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License F301205-1 (NY)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 1086300 (TN)
LAMONT AND SYDNEY ST, Johnson City, TN 37684
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306031729, enumerated as an "individual" on September 10, 2007.
The provider is located at LAMONT AND SYDNEY ST JOHNSON CITY, TN 37684 and the phone number is (423) 926-1171.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
