Shannon Khulusi in Eatontown - Nurse Practitioner
Shannon Khulusi - NPI 1932240603
Shannon Khulusi is a Nurse Practitioner in Eatontown, New Jersey. Shannon Khulusi practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shannon Khulusi is 1932240603. The last update date is 2009-12-02.
Shannon Khulusi's current location address is 142 State Route 35 S, Eatontown, New Jersey. You can contact this provider via phone number 7323895004 and fax number 7323891850. The mailing address for Shannon Khulusi is 142 State Route 35 S, Eatontown, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Khulusi |
|---|---|
| Address | 142 State Route 35 S, Eatontown, New Jersey |
| Phone Number | 7323895004 |
| Fax Number | 7323891850 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1932240603 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2009-12-02 |
Provider Mailing Address Detail
| Address | 142 State Route 35 S |
|---|---|
| City | Eatontown |
| State | New Jersey (NJ) |
| Post Code | 77241876 |
| Phone Number | 7323895004 |
| Fax Number | 7323891850 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 26NJ00061500 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code assigned to Shannon Khulusi by the Centers for Medicare & Medicaid Services?
The Shannon Khulusi has been issued the NPI (National Provider Identifier) 1932240603, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shannon Khulusi's facilities are geographically located?
The facilities of Shannon Khulusi are physically situated at the following location: 142 State Route 35 S, Eatontown, NJ, 77241876.
What is the Shannon Khulusi's specialty and taxonomy code?
The Shannon Khulusi's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932240603 to Shannon Khulusi?
The Centers for Medicare & Medicaid Services assigned the 1932240603 to Shannon Khulusi on 2007-02-08.
When was the information regarding Shannon Khulusi most recently updated?
The details pertaining to the Shannon Khulusi, including its address, specialty, and other relevant information, were last refreshed on 2009-12-02.
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