Farzaneh Moh Entezari, APN
Farzaneh Moh Entezari, APN is a Nurse Practitioner in Champaign, Illinois. Qualified in 2020, 6 years ago. Practices with Radial Health SC, a 14-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.
- Years since qualifying
- 6
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- APN — Advanced Practice Nurse
- The umbrella title some states use for nurse practitioners and other advanced practice nurses.
Practice location Address checks out
1701 Curtis RdChampaign, IL 61822-9678
Phone: (217) 365-6207
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 414 Paddock Dr W, Savoy, IL 61874-9620 — (217) 550-1777
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209022654 (IL) |
|---|---|
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 209.022654 (IL) |
| Registered Nurse | Taxonomy 163W00000X · Licence 041.438415 (IL) |
Record details
| NPI number | 1770177172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APN |
| Sole proprietor | Yes |
| NPI enumerated | February 25, 2021 |
| Last updated in NPPES | November 7, 2024 |
| Certification date | November 4, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Radial Health Sc — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 5 on file with Medicare |
Other providers in Champaign
-
Alicia Brown, NP
1701 W Curtis Rd, Champaign, IL 61822-9678 · (217) 365-5497
-
Brittney Heimburger
3011A Vlg Ofc PL, Champaign, IL 61822-7696 · (877) 726-6494
-
Kiarie Priya Healthcare PLLC
902 N Country Fair Dr Unit 3, Champaign, IL 61821-2300 · (765) 560-3864
-
Tiffany Nicole Logan, NP
1701 Curtis Rd, Champaign, IL 61822-9678 · (217) 365-6201