NPI 1336632033 · live from the CMS NPI Registry
Abdelrahim Ali Abu-Shtaiah, ARNP
Nurse Practitioner, Family in Riverview, FL. National Provider Identifier 1336632033, active.
NPI record
| NPI | 1336632033 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 12805 Hammock Park Dr, Riverview, FL 33579 |
| Practice phone | 813-766-7646 |
| Enumerated | June 7, 2018 |
| Last updated | July 2, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 9406916 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.