Individual
GENCI SHKEMBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5411 GRAND BLVD STE 109, NEW PORT RICHEY, FL 34652-4010
(813) 515-3008
(810) 496-5798
Mailing address
5411 GRAND BLVD STE 109, NEW PORT RICHEY, FL 34652-4010
(813) 515-3008
(810) 496-5798
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11006948
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704256452
MI
Other
Enumeration date
06/19/2015
Last updated
09/13/2023
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