Shady Bourham

  • NPI 1316480643
According to our database, the NPI number for Shady Bourham is 1316480643 and activated since 7 years ago. Shady Bourham is an individual provider who specializes in Licensed Practical Nurse, and the primary practice location is 6321 New Utrecht Ave, Brooklyn, NY 11219. You can also contact Shady Bourham via telephone number is (212) 687-7464. Provider NPI information was last updated on 11/18/2016.

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Overview of Shady Bourham

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/18/2016
  • Last updated: 11/18/2016

Primary Scrop of Practice

  • Taxonomy Code: 164W00000X
  • Specialty: Licensed Practical Nurse
  • License Number: 327253
  • License State: NY

Provider Mailing Address

  • Address: 250 Central Ave
    Apt215-b
    Newark, NJ 07103
  • Phone: 203-252-8704
  • Fax:

Provider Practice Location

  • Address: 6321 New Utrecht Ave
    Brooklyn, NY 11219
  • Phone: 212-687-7464
  • Fax: 212-257-7016

Scope of Practice

  • Taxonomy Code: 164W00000X
  • Specialty: Licensed Practical Nurse
  • License Number: 327253
  • License State: NY
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shady Bourham?
  • A: The npi number for Shady Bourham is 1316480643.
  • Q: What are Shady Bourham's specialties?
  • A: Shady Bourham's specialties are Licensed Practical Nurse and different specialities.
  • Q: What is the medical license for Shady Bourham?
  • A: The medical license number for Shady Bourham is 327253 and issued in NY in USA.
  • Q: Where is Shady Bourham practice location?
  • A: Shady Bourham is practicing at 6321 New Utrecht Ave, Brooklyn, NY 11219.
  • Q: How to contact Shady Bourham?
  • A: You can contact Shady Bourham via 212-687-7464.
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.