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

Tessa Yeganeh Shivazad

Individual provider Nurse Practitioner · NPI 1003776832

Tessa Yeganeh Shivazad is a Nurse Practitioner in Tamarac, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

7219 Primrose Ln
Tamarac, FL 33321-5341
Phone: (954) 670-4640
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F10250740 (FL)

Record details

NPI number1003776832
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

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