Provider Demographics
NPI:1447959291
Name:ISLAM, FARIHA RAHMAN (NP)
Entity type:Individual
Prefix:
First Name:FARIHA
Middle Name:RAHMAN
Last Name:ISLAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:FARIHA
Other - Middle Name:TASNIM
Other - Last Name:RAHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:9140 WARD PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3327
Mailing Address - Country:US
Mailing Address - Phone:972-821-7875
Mailing Address - Fax:
Practice Address - Street 1:1101 NW 94TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-2555
Practice Address - Country:US
Practice Address - Phone:972-821-7875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024019212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily