Lyons, Shamilah
Lyons, Shamilah is an individual health care provider with primary practice located at 3800 Inverrary Blvd Ste 401J , Lauderhill FL 33319-4359. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lyons, Shamilah can be contacted via phone (786) 495-6664.Contact Information
Primary practice address
3800 Inverrary Blvd Ste 401J
Lauderhill FL 33319-4359
Phone: (786) 495-6664
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11005111 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 11005111 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11505111 | Florida |
Profile Details
NPI number | 1497335699 |
---|---|
LBN Legal business name | Lyons, Shamilah |
Credentials | MSN, ARNP, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 12th, 2021 |
Last updated | Jan 24th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497335699 | NPPES |
Florida | MEDICAID | 110840100 |
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