Individual provider · Type 1 NPI

Shah Faisal

Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN

NPI number 1134092851 Active

Practice location

1909 Carew St
Fort Wayne, IN 46805-4707

Mailing address

1005 Almdale Dr
Fort Wayne, IN 46818-8427

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X28274111A (IN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1134092851

Shah Faisal's National Provider Identifier is 1134092851, issued on Sep 29, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 15, 2026.