Individual provider · Type 1 NPI
Shasta Patel, CRNP
Family Nurse Practitioner · Columbia, MD
NPI number
1306407200
Active
Practice location
8900 Columbia 100 Pkwy Ste G
Columbia, MD 21045-2336
Mailing address
PO Box 434
Lisbon, MD 21765-0434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R151007 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306407200
Shasta Patel, CRNP's National Provider Identifier is 1306407200, issued on Jun 22, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, MD. The record was last updated on Jun 22, 2019.