Farzaneh Moh Entezari

APN | Nurse Practitioner - Primary Care | 5+ years Exp

1701 Curtis Rd, Champaign
  Illinois, 61822-9678
217-365-6207
Accepts Medicare Nurse Anesthetist in Champaign, Illinois.
Farzaneh Moh Entezari is a Champaign, Illinois based nurse practitioner with 5 years of experience in Primary Care. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Farzaneh Moh Entezari is 209022654 for Family in Illinois. Her current practice location is 1701 Curtis Rd, Champaign. Patients can reach her at 217-365-6207. Farzaneh Moh Entezari is APN with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1770177172.
Farzaneh Moh Entezari is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Farzaneh Moh Entezari speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Farzaneh Moh Entezari
Specialization: Primary Care Nurse Practitioner (PCNP)
Gender:Female
Credentials: APN
Experience: 5+ years
Medical School Attended:Other
Graduation Year:2020
Accepts Medicare Assignment:Yes
Practice Address:1701 Curtis Rd, Champaign,
Illinois, 61822-9678
Phone:217-365-6207
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9234537564
Enrollment ID: I20211018000762
NPI Number: 1770177172
NPI Enumeration Date: 25 Feb, 2021
NPI Last Update On: 07 Nov, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Farzaneh Moh Entezari are as mentioned below.
License NumberSpecializationStateStatus
209022654Family IllinoisPrimary
209.022654Primary Care IllinoisSecondary
041.438415Registered Nurse IllinoisSecondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Farzaneh Moh Entezari is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Lynn Mershon Do Ltd (4385537299)25
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Farzaneh Moh Entezari
611 W Park St, Fapc
Urbana, Illinois
Zip: 61801-2500
Patients can reach Farzaneh Moh Entezari at 1701 Curtis Rd, Champaign, Illinois or can call to book an appointment on 217-365-6207.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.