Affivia Davies Shabazz APRN-CS

NPI 1033287271 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1033287271
Gender Female
Enumeration Date 12/04/2006
Last Updated 01/04/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
920 2ND AVE S
SUITE 400
MINNEAPOLIS MN, 55402-3318, US
Phone (612) 659-7111
Fax (612) 225-1591
Business Location
920 2ND AVE S
SUITE 400
MINNEAPOLIS MN, 55402-3318, US
Phone (612) 659-7111
Fax (612) 225-1591
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN186391NP
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According to our database, Affivia Davies Shabazz APRN-CS NPI is 1033287271, taxonomy code is 363LF0000X and license number is RN186391NP, license state is located at Georgia. Affivia Davies Shabazz APRN-CS physically located at 920 2nd Ave S, Minneapolis MN, 55402-3318. NPI Number Affivia Davies Shabazz APRN-CS has the Individual type.

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1033287271 NPI number is provided on an as is basis without warranty of any kind. 1033287271 is maintained by the National Plan & Provider Enumeration System. The contents of Affivia Davies Shabazz APRN-CS are for informational purposes only.