MEDICARE: CLAUDIA PATRICIA KHAN FNP

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
1	363LF0000X	Family Nurse Practitioner	11003493	FL

General Provider Information

NPI Number	:	1598310591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA PATRICIA KHAN FNP

Provider Business Mailing Address
First Line	:	1608 SE 3RD AVE FL 3
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2564
Country	:	US
Telephone Number	:	954-491-8676
Fax Number	:	954-491-5994

Provider Business Practice Location Address
First Line	:	3540 N PINE ISLAND RD
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-6637
Country	:	US
Telephone Number	:	954-491-8676
Fax Number	:	954-491-5994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	01/05/2026

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