Individual
WALIYYAH SHAHIDAH MUHSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
1348 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1810
(215) 563-0658
(215) 923-0286
Mailing address
1348 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1810
(215) 563-0658
(215) 923-0286
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
636031
PA
163WP2201X
Ambulatory Care Registered Nurse
636031
PA
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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