Individual provider · Type 1 NPI

Namitha John Shah, FNP-BC

Family Nurse Practitioner · New York, NY

NPI number 1235620048 Active

Practice location

1619 Broadway
New York, NY 10019-7412

Mailing address

30 N Tyson Ave
Floral Park, NY 11001-1515

Other practice locations

  • 8781 169th St, Jamaica, NY 11432-4438 · (718) 206-2400

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X342753 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1235620048

Namitha John Shah, FNP-BC's National Provider Identifier is 1235620048, issued on May 29, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Oct 22, 2020.