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

Shyamazan Khan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1144192477

Shyamazan Khan is a Psychiatric/Mental Health Nurse Practitioner in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

1447 SW Herder Rd
Port Saint Lucie, FL 34953-2269
Phone: (954) 552-3781
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11039521 (FL)

Record details

NPI number1144192477
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

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