Individual provider · Type 1 NPI

Rudra Shah

Pediatric Nurse Practitioner · Greensboro, NC

NPI number 1053014118 Active

Practice location

1046 E Wendover Ave
Greensboro, NC 27405-6712

Mailing address

1206 Southpoint Trl
Durham, NC 27713-6755

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X5017865 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1053014118

Rudra Shah's National Provider Identifier is 1053014118, issued on Mar 27, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Greensboro, NC. The record was last updated on Mar 27, 2023.