Individual provider · Type 1 NPI
Shirley Rachel Mamiye
Primary Care Nurse Practitioner · Allenhurst, NJ
NPI number
1740863893
Active
Practice location
608 Laurel Ave
Allenhurst, NJ 07711-1420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 26NJ01147000 (NJ) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1740863893
Shirley Rachel Mamiye's National Provider Identifier is 1740863893, issued on May 5, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Allenhurst, NJ. The record was last updated on Nov 3, 2025.