Individual
SHABNAM KHALIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 MACY ST, AMESBURY, MA 01913-3706
(978) 834-3000
Mailing address
5 MACY ST, AMESBURY, MA 01913-3706
(978) 834-0300
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2294164
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2294164
MA
Other
Enumeration date
07/31/2019
Last updated
08/29/2019
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