Individual
KRYSTLE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
PO BOX 277, SUWANEE, GA 30024
(215) 534-0736
Mailing address
PO BOX 277, SUWANEE, GA 30024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10240175
GA
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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