SHYAMAZAN KHAN
NPI 1144192477
Nurse Practitioner - Psychiatric/Mental Health in Port Saint Lucie, FL
- Individual
- Nurse Practitioner
- Psychiatric/Mental Health
About SHYAMAZAN KHAN
This page provides the complete NPI Profile along with additional information for Shyamazan Khan, a provider established in Port Saint Lucie, Florida operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1144192477 assigned on September 2025. The practitioner's primary taxonomy code is 363LP0808X with license number 11039521 (FL). The provider is registered as an individual and their NPI record was last updated one year ago.
- NPI
- 1144192477 Verify this NPI
- Provider Name
- SHYAMAZAN KHAN
- Gender
- Entity Type
- Individual
- Location Address
- 1447 SW HERDER RD PORT SAINT LUCIE, FL 34953
- Location Phone
- (954) 552-3781
- Mailing Address
- 1447 SW HERDER RD PORT SAINT LUCIE, FL 34953
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-17-2025
- Last Update Date
- 09-17-2025
- Code Navigator
A nurse practitioner (NP) like Shyamazan Khan is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 11039521
- License State
- FL
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144192477, enumerated as an "individual" on September 17, 2025.
The provider is located at 1447 SW HERDER RD PORT SAINT LUCIE, FL 34953 and the phone number is (954) 552-3781.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
