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Individual

MRS. SHITAL S DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP, FNP-C

Contact information

Practice address
823 MAIN ST, HOPE VALLEY, RI 02832-1920
(401) 539-2461
(401) 753-6348
Mailing address
6225 FM 2920 RD STE 100, SPRING, TX 77379-3474
(281) 257-5977
(281) 257-5966

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
825419
TX
363LA2200X
Adult Health Nurse Practitioner
2012010796
MO
364SA2200X
Adult Health Clinical Nurse Specialist
AP121774
TX
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP121774
TX

Other

Enumeration date
07/18/2012
Last updated
12/07/2015
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