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NPI Code Detail

MEDICARE: ISNINO SHUKRI

MEDICARE: ISNINO SHUKRI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorWA

General Provider Information

NPI Number : 1154014918
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISNINO SHUKRI
Provider Business Mailing Address
First Line : 15601 DUNBERRY WAY
Second Line :
City : APPLE VALLEY
State : MN
Zip : 55124-7827
Country : US
Telephone Number : 952-261-9869
Fax Number :
Provider Business Practice Location Address
First Line : 2100 24TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4637
Country : US
Telephone Number : 206-382-5340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 03/10/2026

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Directions to “ ISNINO SHUKRI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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