Shahwan, Dalia F.

Shahwan, Dalia F. is an individual health care provider with primary practice located at 2603 W Rawson Ave Suite 713, Oak Creek WI 53154-8422. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Shahwan, Dalia F. can be contacted via phone (414) 431-6900.

Contact Information

Primary practice address
2603 W Rawson Ave Suite 713 Oak Creek WI 53154-8422
Phone: (414) 431-6900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5100-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5100-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 5100-33 Wisconsin

Profile Details

NPI number 1598018459
LBN Legal business name Shahwan, Dalia F.
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2012
Last updated Feb 1st, 2016 - about 8 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598018459 NPPES
Wisconsin MEDICAID 1639190671

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