Individual provider · Type 1 NPI

Shane Michael Soorus, APRN, AGACNP-BC

Acute Care Nurse Practitioner · Miami, FL

NPI number 1861159899 Active

Practice location

1400 NW 12th Ave
Miami, FL 33136-1087

Call (269) 217-3695 Map

Mailing address

118 NW 100th St
Miami Shores, FL 33150-1206

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	11016761 (FL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1861159899

Shane Michael Soorus, APRN, AGACNP-BC's National Provider Identifier is 1861159899, issued on Nov 24, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Miami, FL. The record was last updated on Nov 24, 2021.