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NPI Code Detail

MEDICARE: SHIREEN SHATTI APRN-CNP

MEDICARE: SHIREEN SHATTI APRN-CNP
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
1363LP2300XPrimary Care Nurse PractitionerAPRN.CNP.0029751OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326705336
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIREEN SHATTI APRN-CNP
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-366-8175
Fax Number :
Provider Business Practice Location Address
First Line : 7706 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1317
Country : US
Telephone Number : 614-366-8175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2021
Last Update Date : 02/22/2022

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