Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Ehsan Farag, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1306727946

Mrs. Ehsan Farag, AGNP-C is a Gerontology Nurse Practitioner in Vineland, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025

Practice location Address checks out

785 W Sherman Ave
Vineland, NJ 08360-6913
Phone: (856) 451-4700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ15466200 (NJ)

Record details

NPI number1306727946
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address785 W Sherman Ave, Vineland, NJ 08360-6913

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