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1013444769
SHAN NI
PHILADELPHIA, PA
NPI
1013444769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP017236)
Enumeration Date
2017-05-12
Last Update Date
2019-01-17
Business Address
SHAN NI CRNP
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-3008
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Mailing Address
SHAN NI CRNP
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-3008
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