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Individual
INNA SHAMIS
Active
Individual
INNA SHAMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R165785
MD
363L00000X
Nurse Practitioner
RN1008161
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052703300
—
MD
05
—
076053600
—
DC
Enumeration date
10/19/2010
Last updated
07/21/2022
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