Individual provider · Type 1 NPI
Shazia Memon, FNP-BC
Family Nurse Practitioner · New York, NY
NPI number
1003644675
Active
Practice location
440 W 114th St
New York, NY 10025-1796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2020000104 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 2020000104 (NY) |
| Registered Nurse | 163W00000X | 606996 (NY) |
| Registered Nurse | 163W00000X | 26NR20554000 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1003644675
Shazia Memon, FNP-BC's National Provider Identifier is 1003644675, issued on Jul 24, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Jul 24, 2024.