Most Relevant Information
Provider Data
| NPI Number: | 1003644675 |
| Provider Name: | SHAZIA MEMON FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2020000104 |
Most Important Dates
| Enumeration Date: | 07/24/2024 |
| Last Updated: | 07/24/2024 |
Provider Practice Location
440 W 114TH ST
NEW YORK
NY
100251796
Practice Location Phone/Fax
| Phone: | 2125238570 |
| Fax: |
Provider Mailing Location
440 W 114TH ST
NEW YORK
NY
100251796
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |