Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Wali Abdush-Shakur, NURSE

Individual provider Registered Nurse · NPI 1902038458

Mr. Wali Abdush-Shakur, NURSE is a Registered Nurse in Santa Fe, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2009

Practice location Address checks out

2001 Chamisa St
Santa Fe, NM 87505-3441
Phone: (505) 982-2129
Fax: (505) 992-1149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R65082 (NM)

Record details

NPI number1902038458
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSE
Sole proprietorYes
NPI enumeratedAugust 18, 2009
Last updated in NPPESAugust 18, 2009

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