Individual
MS. BAIRAT SHASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5251 VINELAND AVE APT 514, NORTH HOLLYWOOD, CA 91601
(773) 936-9100
Mailing address
5251 VINELAND AVE APT 514, NORTH HOLLYWOOD, CA 91601-7014
(773) 936-9100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95009232
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95009232
CA
Other
Enumeration date
02/05/2017
Last updated
06/18/2018
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