Individual
SHAMPA NASREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2711 E ROOSEVELT ST, PHOENIX, AZ 85008-4946
(602) 889-8500
(602) 867-0840
Mailing address
1481 S KAREN DR, CHANDLER, AZ 85286-6334
(615) 484-1435
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0024175133
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
222585
AZ
Other
Enumeration date
09/06/2017
Last updated
07/26/2019
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