| Doctor Name: | LAYLA NADIR AL-SHAMI |
| NPI Number: | 1255483558 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 4741P |
| Business Practice Address: | 405 Mount Holly Rd Fairdale, KY - 401189001 |
| Business Phone Number: | 5023759752 |
| Business Fax Number: | |
| Mailing Address: | 10210 Hearthstone Ct, LOUISVILLE |
| State: | KY |
| Postal Code: | 402722909 |
| Phone Number: | 5023868201 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4741P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |