Individual
SHIJI ABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9430 TURKEY LAKE RD STE 110, ORLANDO, FL 32819-8015
(321) 841-7856
(321) 843-6432
Mailing address
9430 TURKEY LAKE RD STE 110, ORLANDO, FL 32819-8015
(321) 841-7856
(321) 843-6432
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11009285
FL
363LF0000X
Family Nurse Practitioner
11009285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122325400
—
FL
Enumeration date
09/25/2020
Last updated
08/12/2024
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