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

Shampa Nasreen, NURSEPRACTITIONER

Individual provider Pediatric Nurse Practitioner · NPI 1215455605

Shampa Nasreen, NURSEPRACTITIONER is a Pediatric Nurse Practitioner in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona and Virginia.

Licensed in
AZ, VA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2711 E Roosevelt St
Phoenix, AZ 85008-4946
Phone: (602) 889-8500
Fax: (602) 867-0840
Show map & directions

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

Additional practice locations (1)

  • 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 — (804) 422-5437

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 222585 (AZ)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 0024175133 (VA)

Record details

NPI number1215455605
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 6, 2017
Last updated in NPPESJuly 26, 2019

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