Provider Demographics
NPI:1619669637
Name:REHMAN, SHAHZEEN (FNP-C)
Entity Type:Individual
Prefix:
First Name:SHAHZEEN
Middle Name:
Last Name:REHMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3679 LANTERN WALK LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30079-1892
Mailing Address - Country:US
Mailing Address - Phone:678-641-2078
Mailing Address - Fax:
Practice Address - Street 1:3679 LANTERN WALK LN
Practice Address - Street 2:
Practice Address - City:SCOTTDALE
Practice Address - State:GA
Practice Address - Zip Code:30079-1892
Practice Address - Country:US
Practice Address - Phone:678-641-2078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN296422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily