Individual provider · Type 1 NPI
Shikarah Newsome
General Practice Registered Nurse · Philadelphia, PA
NPI number
1174436950
Active
Practice location
2301 S Broad St
Philadelphia, PA 19148-3542
Mailing address
901 Walnut St Ste 800
Philadelphia, PA 19107-5226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Registered Nurse Primary | 163WG0000X | RN753175 (PA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1174436950
Shikarah Newsome's National Provider Identifier is 1174436950, issued on Sep 23, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 21, 2026.