Individual
MIRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2201 W END AVE, NASHVILLE, TN 37235-0001
(615) 322-7311
Mailing address
2201 W END AVE, NASHVILLE, TN 37235-0001
(615) 322-7311
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202530586
CA
Other
Enumeration date
06/16/2025
Last updated
11/26/2025
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