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Contact Information

WALI ABDUSH SHAKUR, NURSE
2001 CHAMISA ST
SANTA FE, NM87505-3441
 Phone: 505-982-2129
 Fax: 505-992-1149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for WALI ABDUSH SHAKUR · (Male)

NPI # 1902038458
Status Active
Credentials NURSE
Entity Individual
Enumeration date 08/18/2009
Last updated 08/18/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # R65082
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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