Individual
MRS. SHAZIA TABASUM MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1225 M ST, FRESNO, CA 93721-1805
(550) 600-9300
Mailing address
5170 N FLOYD AVE, FRESNO, CA 93723-9435
(559) 421-5955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
748392
CA
363LF0000X
Family Nurse Practitioner
95022173
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022173
CA
Other
Enumeration date
11/15/2019
Last updated
04/14/2026
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