Individual provider · Type 1 NPI
Shane Yasin Farouk, MSN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Hollywood, FL
NPI number
1740196344
Active
Practice location
1201 N 37th Ave Ste 100
Hollywood, FL 33021-5414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11050249 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1740196344
Shane Yasin Farouk, MSN, APRN, PMHNP-BC's National Provider Identifier is 1740196344, issued on Aug 22, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hollywood, FL. The record was last updated on Aug 22, 2026.