Individual provider · Type 1 NPI

Shaza Khatib

Family Nurse Practitioner · Hackensack, NJ

NPI number 1639945942 Active

Practice location

357 Prospect Ave
Hackensack, NJ 07601-2519

Fax (833) 775-0075

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ15169200 (NJ)
Medical-Surgical Registered Nurse 163WM0705X26NR19673500 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1639945942

Shaza Khatib's National Provider Identifier is 1639945942, issued on Nov 28, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hackensack, NJ. The record was last updated on Aug 31, 2026.