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Individual
CHELSEA SHOCK
Active
Individual
CHELSEA SHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R2200384
MD
363LP0200X
Pediatric Nurse Practitioner
LJ-0010453
DE
363LP0200X
Pediatric Nurse Practitioner
Primary
R2200384
MD
Other
Enumeration date
12/07/2022
Last updated
12/18/2023
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