Individual
HENA NAZ SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 333-5973
(812) 333-5978
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 333-5973
(812) 333-5978
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71007184A
IN
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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