Individual provider · Type 1 NPI
Jaykumar Shah, AGACNP - BC
Acute Care Nurse Practitioner · West Bloomfield, MI
NPI number
1154947323
Active
Practice location
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Mailing address
4687 Sutherland Dr
Troy, MI 48085-3464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704274015 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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- Olayemi Olayinka Sanni, DNPAcute Care Nurse Practitioner West Bloomfield, MI NPI 1275136178
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About NPI 1154947323
Jaykumar Shah, AGACNP - BC's National Provider Identifier is 1154947323, issued on Jun 23, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in West Bloomfield, MI. The record was last updated on Aug 3, 2020.