Individual provider · Type 1 NPI
Shazia Tabasum Malik, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Fresno, CA
NPI number
1104461938
Active
Practice location
1225 M St
Fresno, CA 93721-1805
Mailing address
5170 N Floyd Ave
Fresno, CA 93723-9435
Other practice locations
- 2501 W Shaw Ave Ste 101, Fresno, CA 93711-3307 · (559) 507-3760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95022173 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95022173 (CA) |
| Registered Nurse | 163W00000X | 748392 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104461938
Shazia Tabasum Malik, NURSE PRACTITIONER's National Provider Identifier is 1104461938, issued on Nov 15, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fresno, CA. The record was last updated on Apr 14, 2026.