Provider Demographics
NPI:1689399917
Name:SHAMLIAN, DENISE (INHC)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:SHAMLIAN
Suffix:
Gender:F
Credentials:INHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3296 N FEDERAL HWY UNIT 11291
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-8412
Mailing Address - Country:US
Mailing Address - Phone:347-739-4433
Mailing Address - Fax:
Practice Address - Street 1:2124 NE 56TH CT APT 108
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-8517
Practice Address - Country:US
Practice Address - Phone:347-739-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator
No253Z00000XAgenciesIn Home Supportive Care
No332900000XSuppliersNon-Pharmacy Dispensing Site