Provider Demographics
NPI:1760246045
Name:NSHAPE CENTER
Entity Type:Organization
Organization Name:NSHAPE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRASSI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:484-334-0275
Mailing Address - Street 1:15 S STATE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17508-5090
Mailing Address - Country:US
Mailing Address - Phone:484-334-0275
Mailing Address - Fax:717-389-4699
Practice Address - Street 1:15 S STATE ST STE 102
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17508-5090
Practice Address - Country:US
Practice Address - Phone:484-334-0275
Practice Address - Fax:717-389-4699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty