Individual provider · Type 1 NPI
Beena Shibu
Acute Care Nurse Practitioner · New York, NY
NPI number
1033638432
Active
Practice location
177 Fort Washington Ave
New York, NY 10032
Mailing address
630 W 168th St # 4
New York, NY 10032-3725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F431179-1 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1033638432
Beena Shibu's National Provider Identifier is 1033638432, issued on Sep 17, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Sep 6, 2024.