Individual
SELAM B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2372400
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2372400
MA
Other
Enumeration date
07/05/2024
Last updated
12/30/2025
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