Individual provider · NPI-1

Shazi Ali

Nurse Practitioner · Bridgeport, CT

NPI number1134584535
StatusActive
Last updated in NPPESNov 27, 2024

Details

NPI
1134584535
Entity type
Individual (NPI-1)
Name
Shazi Ali
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 29, 2015
Certification date
Nov 27, 2024
Last updated
Nov 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner6424CTYes

Practice location

4920 Main St
Bridgeport, CT 06606-1300

Phone 860-380-5150

Mailing address

79 Golden Hill St
Trumbull, CT 06611-5010

Phone 203-339-1635

Other practice locations

267 Grant St
Bridgeport, CT 06610-2805

Phone 203-384-3000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Bridgeport, CT