Provider Demographics
NPI:1689329286
Name:SHAKHMUROVA, ESFIRA (FNP)
Entity type:Individual
Prefix:
First Name:ESFIRA
Middle Name:
Last Name:SHAKHMUROVA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 W 36TH ST RM 706
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7986
Mailing Address - Country:US
Mailing Address - Phone:646-233-4536
Mailing Address - Fax:646-880-9366
Practice Address - Street 1:53 W 36TH ST RM 706
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7986
Practice Address - Country:US
Practice Address - Phone:646-233-4536
Practice Address - Fax:646-880-9366
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY349206363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily